基于态靶辨治理论探讨慢性胃炎诊疗体系的构建

Construction of state-target treatment based on syndrome differentiation system for chronic gastritis

慢性胃炎(chronic gastritis)是消化系统常见慢性疾病,属于中医临床优势病种之一。现代中医辨证论治体系对于该病的诊治往往重点关注患者刻下症状,对疾病的发生发展规律、辅助检查指标等把握不足,影响了临床疗效。基于仝小林院士态靶辨治理论,将慢性胃炎发病过程分为“滞、湿、瘀、虚”四态(四期),结合治疗靶点,确定各阶段相应的靶方靶药,构建慢性胃炎的态靶辨治体系,以期提高慢性胃炎的临床疗效。

Chronic gastritis is a common chronic disease of the digestive system,which belongs to one of the clinical advantages of disease of traditional Chinese medicine(TCM).For the diagnosis and treatment of this disease,the syndrome differentiation and treatment system of modern TCM often focuses on the patient's current symptoms,and lacks a grasp of the occurrence and development of the disease,as well as the auxiliary examination indicators,which affects the clinical efficacy.Based on academician Tong Xiaolin's thought of"state-target treatment based on syndrome differentiaion",the pathogenesis of chronic gastritis is divided into four states(four stages),namely"stagnation,dampness,stasis,and deficiency".Combined with the therapeutic targets,the corresponding target prescription and target drug for each stage are determined,and the"state-target treatment based on syndrome differentiation"system of chronic gastritis is constructed,in order to improve the clinical eficacy of chronic gastritis.