董湘玉教授分期治疗慢性萎缩性胃炎经验

Professor Dong Xiangyu's experience in treating chronic atrophic gastritis by stages

慢性萎缩性胃炎是世界卫生组织公认的癌前病变.董湘玉教授从事消化系统疾病及心身疾病研究40余载,对慢性萎缩性胃炎有着非常丰富的治疗经验.董老主张分期论治,认为本病前期实证多见,治疗以行气止痛、清热化湿为主;中期多见寒热虚实夹杂证,邪盛正虚,治宜需祛邪扶正;后期以气虚、阴亏、瘀毒胶着为主,治疗以益气养阴、活血化瘀为主.善用六经辨证,强调有是证用是方,临床疗效确切,并附一则验案以佐证.

Chronic atrophic gastritis is a precancerous lesion recognized by the World Health Organization.Professor Dong Xiangyu has been engaged in the research of digestive system diseases and psychosomatic diseases for more than 40 years,and has rich experience in the treatment of chronic atrophic gastritis.She advocated the treatment by stages.believing that the early evidence of the disease was common,and the treatment was mainly to exercise qi and relieve pain,clear heat and change dampness.In the middle of the syndrome of cold and heat mixed with deficiency and reality,evil sheng is empty,treatment should be quxie fuzheng;in the later stage,qi deficiency,Yin deficiency.stasis and poison glue are the main treatment to nourish qi and Yin,promote blood circulation and remove stasis.To make good use of syndrome differentiation of six channels,it is emphasized that there is a syndrome and the prescription is used,and the clinical effect is definite,and an empirical case is attached to prove it.