基于“脾虚、湿热、痰瘀”论治隆起糜烂性胃炎探赜

Experience in the treatment of aplastic erosive gastritis based on the theory of"spleen deficiency,damp-heat and phlegm stasis"

隆起糜烂性胃炎是一类以局部细胞增殖为特征并具有高度癌变倾向的特殊类型胃炎。柯晓教授从事临床工作30年余,尤其擅长治疗消化道疾病,导师认为“脾虚、湿热、痰瘀”为该病基本病机,以脾虚为本,湿热、痰阻、血瘀为标,其中痰瘀贯穿疾病发生、发展的始终。治疗上以健脾气、清湿热、化痰瘀为基本治法。该文介绍柯晓教授应用健脾清化散瘀饮为基础治疗隆起糜烂性胃炎的治疗经验。

Raised erosive gastritis is a special type of gastritis characterized by local cell proliferation with a high tendency to carcinogenesis.Professor KE Xiao has been working in the clinical field for over 30 years and is especially good at treating gastrointestinal diseases.According to the tutor,"spleen deficiency,damp-heat and phlegm stasis"are the basic pathogenesis of the disease,with spleen deficiency as the primary cause and damp-heat,phlegm obstruction and blood stasis as the symptoms,with phlegm stasis running throughout the development of the disease.Treatment is based on strengthening the Spleen Qi,clearing Dampness and Heat,and resolving Phlegm and Blood stasis.This article introduces Professor KE Xiao’s treatment experience in the application of Jianpi Qinghua Dispersing Stasis Drink as the basis for the treatment of augmented erosive gastritis.