运用“虚、毒、瘀”三因论治慢性萎缩性胃炎探析

Exploration of the treatment of chronic atrophic gastritis based on the three causes differentiation of"deficiency,toxin,and stasis"

慢性萎缩性胃炎是临床最常见的慢性胃炎之一,常以腹胀、腹痛、食欲不振、消瘦、乏力为主要临床表现,有恶变倾向。虽临床上对此研究较多,而治疗效果参差不齐,反复难愈,临床可重复性不强。本文从审机论治的角度,通过阐述该病发生的机制,从本质上论治慢性萎缩性胃炎。总结其病机本质为:虚、毒、瘀相互胶结为因,致疾病缠绵难愈。因此,治疗当标本兼顾:以调脾、解毒、化瘀为大法治疗,疗效显著,特此总结以供参考。

Chronic atrophic gastritis is one of the most common chronic gastritis in clinical practice,often characterized by abdominal distension,abdominal pain,loss of appetite,weight loss,and fatigue,with a tendency to malignancy.Although there are many studies on this in clinical practice,the treatment effects are uneven,and it is difficult to recover after repeated treatment and low clinical repeatability.This article discusses the mechanism of the occurrence of chronic atrophic gastritis from the perspective of differentiation and treatment based on pathogenesis and fundamentally discusses the treatment of chronic atrophic gastritis.The essence of its pathogenesis is summarized as follows:deficiency,toxin,and stasis are intertwined,causing the disease to be lingering and difficult to heal.Therefore,the treatment should take into account both the symptoms and the diseases:regulating the spleen,detoxifying,and resolving stasis as the main methods of treatment,with significant therapeutic effects.This summary is for reference.