从“土枢四象”探析王海强教授治疗慢性萎缩性胃炎经验

Exploring Professor Wang Haiqiang’s experience in treating chronic atrophic gastritis from the perspective of the“Tushu Sixiang”

黄元御认为“土枢四象”与“肝升肺降”是保持人体气机正常运行的关键。现基于该理论,试以中医理论阐述慢性萎缩性胃炎(CAG)的发病机制与治疗方法,为临床治疗CAG提供更多思路。王海强教授认为CAG核心病机为中土亏虚,水湿困阻,临床表现由脾胃失和,肝气不畅,肺气不通,气机壅塞中土所致。中土如轴,肝肺如轮,轮运轴转,轴运轮灵,故治疗CAG应注重调畅中土,斡旋气机流转,肝肺升降相得则诸症自除。王海强教授调畅中土气机善用半夏泻心汤,升举肝木善用达郁汤,沉降肺金善用下气汤。

Huang Yuanyu believes that the“Tushu Sixiang”and“the liver rises and the lungs fall”are the keys to maintaining the normal operation of the body’s qi.Based on this theory,this paper attempts to explain the pathogenesis and treatment of chronic atrophic gastritis(CAG)based on the theory of traditional Chinese medicine,so as to provide more ideas for the clinical treatment of CAG.Professor Wang Haiqiang believes that the core pathogenesis of CAG is“shuishi kunzu”,zhongtu kuixu,and clinical manifestations caused by disharmony of the spleen and stomach,obstruction of liver qi,obstruction of lung qi,and obstruction of qi in the Zhongtu.Zhongtu is like a shaft,while the liver and lungs are like wheels.When wheels move,the shaft rotates,and the shaft moves,the wheel is agile.Therefore,in the treatment of CAG,attention should be paid to regulating the Zhongtu,regulating the flow of qi,and achieving a balance between the liver and lungs can eliminate all symptoms.Professor Wang Haiqiang uses Banxia Xiexin Decoction to regulate the circulation of qi in the Zhongtu,uses Dayu Decoction to lift liver,and uses Xiaqi Decoction to settle lung.