李军茹主任医师治疗高原慢性萎缩性胃炎临床经验总结

Summary of clinical experience of Chief Physician Li Junru in the treatment of chronic atrophic gastritis in plateau areas

慢性萎缩性胃炎是临床上难治的消化系统疾病,具有发病率高,反复发作性强等特点,发病原因与幽门螺杆菌感染、免疫因素、胆汁反流和遗传等有关。在各种因素相互作用下导致胃黏膜损伤,胃腺体萎缩。西医治疗可短期改善症状,但从长远来说容易复发。李军茹主任医师扎根高原30余载,治疗慢性萎缩性胃炎有独特的理论,她提出治疗应立足高原,采用“依天时-辨体质-辨病证-辨病症”结合的方式,重视患者舌象、脉象的变化,强调“皮膜同治”,时时顾护胃气,重调脾胃气机,从而制订临床方案。

Chronic atrophic gastritis is a disease of digestive system that is difficult to treat clinically.It is characterized by high incidence rate and strong recurrence.The etiology is related to Helicobacter pylori infection,immune factors,bile reflux,and heredity.Under the interaction of various factors,it leads to damage to the gastric mucosa and atrophy of the gastric gland.Western medicine treatment can improve symptoms in the short term,but in the long run,it is prone to recurrence.Chief Physician Li Junru has been rooted in high altitude for over 30 years and has a unique theory for treating chronic atrophic gastritis.She proposes that treatment should be based on plateau and adopt a combination of“based on day and hour-distinguishing constitution-identifying symptoms-distinguishing disease syndromes”.She emphasizes the changes in the patient’s tongue and pulse conditions,emphasizes“simultaneous treatment of skin and membrane”,constantly cares for the stomach qi,adjusts the spleen and stomach qi mechanism and formulates clinical plans accordingly.