刘启泉基于“六腑以通为补”论治慢性萎缩性胃炎经验

LIU Qiquan's Experience on Treating chronic Atrophic Gastritis Based on“Tonifying Six Fu-Organs by Dredging”

该文将刘启泉教授从“六腑以通为补”理论出发论治慢性萎缩性胃炎(CAG)的经验介绍如下。生动阐释了六腑与慢性萎缩性胃炎的生理与病理关系,简要说明了从六腑论治慢性萎缩性胃炎的理论基础,认为其病位虽在胃,却与六腑密切相关。慢性萎缩性胃炎的发病与“胃宜降则和”有着重要的联系,而人体之六腑均与足阳明胃之通降密切相关,胆、胃、大肠、小肠、三焦、膀胱得以通调,CAG即可得到缓解。刘师从“谨守病机”入手,在临床上运用通泄胆腑、通降胃腑、通调大肠、通利小肠、通畅三焦、通达膀胱六法,以达到缓解CAG症状、使萎缩的胃黏膜得以逆转的效果。刘师在临证潜方用药时根据患者实际情况之不同而具体化裁,谨守“六腑以通为补”理论,遵叶氏“忌刚用柔”之旨,灵活运用泄胆腑、降胃腑、调大肠、利小肠、畅三焦、达膀胱之药,六腑并治,气血同调,达到通六腑以安胃的目的,最终实现以通为补,以期有效逆转腺体萎缩的镜下病理表现,防止疾病进一步恶化。

This paper introduces professor LIU Qiquan's experience in the treatment of chronic atrophic gastritis(CAG)from the theory of“tonifying six Fu-organs by dredging”.The physiological and pathological relationship between six Fu-organs and CAG is vividly explained,and the theoretical basis of treating CAG from six Fu-organs is briefly explained.The disease location is stomach,but closely related to six Fu-organs.The occurrence of CAG is closely related to the“the normal function of stomach being to descend”,and the six Fu-organs of the human body are closely related to the relaxation of the foot-Yangming stomach.The gallbladder,stomach,large intestine,small intestine,three Jiao and bladder can be regulated,and CAG can be alleviated.Starting from“guarding the pathogenesis”,Mr.LIU applied six methods to relieve the symptoms of CAG and reverse the atrophy of gastric mucosa in clinical practice,including draining the bile organs,lowering the stomach organs,regulating the large intestine,benefiting the small intestine,unblocking the three Jiao and accessing the bladder.Professor LIU makes specific adjustments based on the actual situation of the patient when using hidden prescriptions in clinical practice.He adheres to the theory of“tonifying six Fu-organs by dredging”and followed YE's principle of“avoiding rigidity and using softness”.He flexibly uses drugs that can release bile,lower stomach,regulate large intestine,promote small intestine,smooth the three Jiao and reach the bladder.The six Fu-organs are treated together,and Qi and blood are coordinated to achieve the goal of unblocking the six Fu-organs and calming the stomach.Ultimately,he has achieved the goal of using dredging as nourishment,in order to effectively reverse the pathological manifestations of glandular atrophy under the microscope and prevent further deterioration of the disease.