王道坤教授应用温阳益气法治疗慢性萎缩性胃炎经验

Clinical experience of Professor WANG Daokun in treating chronic atrophic gastritis by the warming Yang and replenishing Qi method

王道坤教授认为慢性萎缩性胃炎的基本病机为脾胃虚寒,痰湿阻滞,气滞血瘀,胃络瘀血;兼有虚、痰、湿、瘀、毒等病理因素;根据兼夹证的不同治以温阳健脾,除湿化痰,和胃降逆,理气活血,通络止痛;遣方用药以补中有通,通中有补,动静结合,升降相宜,用药贵在轻灵活泼,芳香醇正;且以张机(字仲景)“桂枝人参汤”为主方化裁而成“温中健胃丸”,治疗慢性萎缩性胃炎疗效满意。

Professor WANG Daokun believes that the basic pathogenesis of chronic atrophic gastritis is deficiency and coldness of the spleen and stomach,phlegm-dampness obstruction,Qi(气)stagnation and blood stasis,and blood stasis in gastric collaterals,combines with pathological factors such as deficiency,phlegm,dampness,blood stasis,poison and so on.According to the different accompanied symptoms and signs,the treatment method is to warm Yang(阳)and invigorate the spleen,remove dampness and resolve phlegm,reduce the adverse effects of the stomach,regulate Qi movement and promote blood circulation,and dredge collaterals to relieve pain.When prescribing and administering,tonics medicines plus dredging meridian medicines were used to normalize the Qi movement,and the medicines used were light and flexible in nature,and aromatic mellow.In addition,taking the Guizhi Renshen decoction(桂枝人参汤)from TCM master ZHANG Ji as the main prescription,Wenzhong Jianwei Wan(温中健胃丸)was obtained and showed a satisfactory effects on chronic atrophic gastritis.