基于健脾培元法辨治脾胃虚弱型慢性萎缩性胃炎

Treatment of Chronic Atrophic Gastritis of Spleen and Stomach DeficiencyType Based on Jianpi Peiyuan Method

慢性萎缩性胃炎是一种难治且易反复的消化系统疾病,属于胃癌前病变重要阶段。《素问·举痛论》有言:“百病生于气”,正气邪气相争作用于人体则发病,而脾胃为后天之本,是人体正气、卫气、营气、精气的化生之源,关乎人体一身之气的充盛与抵抗邪气的能力,慢性萎缩性胃炎病因虚实夹杂,脾胃之气虚弱是其根本病因,脾胃之气虚弱贯穿于慢性萎缩性胃炎的整个病程。健脾培元法以调补后天脾胃之气,培补人体真元,激发人体活力,激活自我修复能力,基于健脾培元法,从调理“脾胃之气”来论治脾胃虚弱型慢性萎缩性胃炎。从顾护脾胃之气以御邪气、充养脾胃之气以助元气、疏理脾胃之气以复气机、挽救脾胃之气以存生气四个方面入手,旨在建本固元、强健脾胃之气、补益机体亏虚、激活修复能力,从而改善慢性萎缩性胃炎患者疾病进展和预后。

Chronic atrophic gastritis is a refractory and easily recurrent digestive system disease,which is an important stage of precancerous lesions of gastric cancer.Su Wen Ju Tong Lun said:All diseases are caused by Qi,and the struggle between healthy Qi and pathogenic Qi affects the human body,and the spleen and stomach are the acquired foundation,which is the source of the body's healthy Qi,defensive Qi,nutrient Qi and essence Qi.It is related to the fullness of the body's Qi and the ability to resist pathogenic Qi.The etiology of chronic atrophic gastritis is mixed with deficiency and excess,and the deficiency of spleen and stomach Qi is the fundamental cause.The deficiency of spleen and stomach Qi runs through the whole course of chronic atrophic gastritis.The method of invigorating spleen and nourishing yuan is to regulate and tonify the Qi of the acquired spleen and stomach,to tonify the true element of the human body,to stimulate the vitality of the human body,and to activate the self-healing ability.Based on the method of invigorating the spleen and strengthening the spleen,the treatment of chronic atrophic gastritis with spleen and stomach deficiency is discussed from the perspective of regulating the Qi of the spleen and stomach.From the four aspects of protecting the Qi of the spleen and stomach to resist the evil Qi,nourishing the Qi of the spleen and stomach to help the original Qi,dredging the Qi of the spleen and stomach to restore the Qi movement,and saving the Qi of the spleen and stomach to preserve the Qi,the purpose is to build the foundation and strengthen the Qi of the spleen and stomach,supplement the deficiency of the body,activate the repair ability,and improve the disease progression and prognosis of patients with chronic atrophic gastritis.