陈宝贵衷中参西治疗萎缩性胃炎经验介绍

Introduction of CHEN Baogui's Experience in Treating Atrophic Gastritis with Chinese Medicinewith Reference to Western Medicine

介绍陈宝贵教授治疗萎缩性胃炎的临床经验。陈宝贵教授认为萎缩性胃炎病因病机错综复杂,主要有:湿浊热毒浸淫,寒热错杂成萎;瘀血郁滞胃络,诸邪化积成萎;肝旺克伐脾土,气机失调而致萎;思虑过度伤脾,胃心失和而致萎;久病津伤液耗,胃失荣养而致萎。脾气虚损贯穿疾病始终。临证注重中医证候、胃镜下微观表现等辨证施治。施以健脾益气、健运中焦,清热化湿、解毒化浊,活血化瘀、辛润通络,舒肝和胃、升清降浊,醒脾开窍、胃心同调,益气养阴、固护胃膜诸法。用药注重汇通中西、参以现代药理。

The authors are to introduce the clinical experience of Professor CHEN Baogui in treating atrophic gastritis.Professor CHEN believes that the etiology and pathogenesis of atrophic gastritis are complicated,mainly as followed:a)damp-turbidity and heat toxin immersion,and cold and heat in complexity;b)constraint and stagnation of static blood in the stomach collateral vessels,and accumulation of each pathogen;c)restriction of vigorous liver on spleen earth,and disordered qi movement;d)damage to the spleen due to excessive worry,and disharmony between the stomach and the heart;e)overconsumption of fluids due to long-lasting diseases,and inability to flourish and tonify the stomach.The spleen-qi deficiency and detriment are throughout the disease.In clinical practice,the focus should be paid to the treatment with traditional Chinese medicine syndromes and microscopic appearances under gastroscope by syndrome differentiation.The methods usually applied are tonifying the spleen and replenishing qi,tonifying and transporting the middle energizer,clearing heat and resolving dampness,resolving toxins and removing turbidity,invigorating blood and dissolving stasis,freeing the collateral vessels with the pungent medicines that can moisten the body,soothing the liver and harmonizing the stomach,raising the clear and directing the turbid downward,awakening the spleen and opening the orifices,regulating both the stomach and heart,boosting qi and nourishing yin,and securing and protecting gastric mucosa.The medication should pay attention to integrate Chinese medicine with western medicine with reference to modern pharmacology.