基于脾不行津、肾关失守探讨慢性萎缩性胃炎中医病机特点

Discussion on Chinese Medicine Pathogenesis of Chronic Atrophic Gastritis Based on Failure of Spleen to Transport Body Fluids and Fall of Kidney Gate

慢性萎缩性胃炎(CAG)是炎-癌转化的重要环节,中医药在中医理论的基础上对本病进行辨证论治。笔者通过浅析“脾不能为胃行其津液”“肾为胃之关”的中医理论来探讨CAG的病因病机,总结得出其病机为本虚标实,可从脾肾亏虚角度进行论治,兼顾瘀、毒、湿等标实之邪。

Chronic atrophic gastritis(CAG)is an important link in the transformation from inflammation to cancer.In Chinese medicine treatment,this disease is treated according to syndrome differentiation based on the theory of Chinese medicine.The purpose of this paper is to explore the etiology and pathogenesis of CAG by analyzing the Chinese medicine theoretical ideas that"the spleen cannot transport the body fluids for the stomach"and"the kidney is the gate to the stomach".It is concluded that the pathogenesis of CAG is deficiency in origin and excess in superficiality;it can be treated from the aspect of spleen and kidney depletion,and attention is also paid to the pathogenic factors of stasis,toxin and dampness.