慢性萎缩性胃炎脾胃虚弱证中医研究进展

Progress in Traditional Chinese Medicine Research on Spleen and Stomach Weakness Syndrome in Chronic Atrophic Gastritis

慢性萎缩性胃炎(CAG)是一种发病率较高的胃癌前状态,备受临床关注。中医将CAG分为不同证型,既往多项研究认为,脾胃虚弱证为CAG的发生、传变之源,早期治疗有助于延缓疾病的下一步传变,甚至起到逆转作用。中医治疗随证加减用药,对症状及病理改善均起到明显疗效,具有其特色优势,故将中医辨证与现代医学的微生态认识、血清学检查、胃镜检查等相结合,分析各指标及镜下表现等与中医辨证的关联性,并从中医病因病机、用药、选方、外治法等综述CAG脾胃虚弱证的研究进展,以期为后续CAG相关研究提供参考。

Chronic atrophic gastritis(CAG)is a precancerous state with a high incidence rate,which clinical doctors have widely valued.Traditional Chinese medicine divides CAG into different syndrome types.Previous studies have suggested that spleen and stomach weakness syndrome is the source of the occurrence and transmission of CAG.Early treatment can help delay the next step of disease transmission,and even have a reversal effect.Traditional Chinese medicine(TCM)has shown it has unique advantages and significant therapeutic effects in improving symptoms and pathology by adjusting medication according to the symptoms.Therefore,TCM syndrome differentiation is combined with Western medicine s understanding of microecology,serological examination,and gastroscopy to analyze the correlation between various indicators and endoscopic manifestations with TCM syndrome differentiation.The research progress on spleen and stomach weakness syndrome and its concurrent syndromes in CAG is summarized from the aspects of TCM etiology and pathogenesis,medication,prescription selection,and external treatment methods,to provide a basis for subsequent CAG related research.