从“湿热损络”论治糜烂性胃炎

Treatment of Erosive Gastritis from Perspective of"Dampness-Heat Damaging Collaterals"

糜烂性胃炎(CEG)是临床常见消化系统疾病,具有发病率高、危险因素多、反复难愈的特点。笔者通过整体观和辨证论治,基于三因制宜,认为糜烂性胃炎乃外感或内生湿热,损伤胃腑血络,造成胃黏膜糜烂,根本病机乃“湿热损络”。本文探讨湿热损络的理论内涵及病理特点,指导临床分期论治糜烂性胃炎,以期对临床诊治糜烂性胃炎提供理论参考。

Chronic erosive gastritis(CEG)is a common clinical digestive disease,characterized by high morbidity,many risk factors and recurrent difficulty in healing.The author,through the holistic view and diagnosis and treatment,based on the three factors,believes that erosive gastritis is caused by exogenous or endogenous dampness-heat,which damages the gastric viscera and blood channels,resulting in gastric mucous membrane erosion,and the underlying mechanism is"dampness-heat damaging collaterals".This paper discusses the theoretical connotation and pathological characteristics of dampness-heat damaging collaterals,and guides the clinical staging and treatment of erosive gastritis,in order to provide theoretical references for the clinical diagnosis and treatment of erosive gastritis.