基于络病理论论治慢性萎缩性胃炎
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R573.3+2

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国家中医药管理局全国基层名老中医药专家传承工作室基金支持项目(国中医药人教发[2016]41号);浙江省中医药管理局浙江省 名老中医专家传承工作室基金支持项目(浙中医药[2017]23号)


Treatment of Chronic Atrophic Gastritis Based on Theory of Collaterals Disease
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    摘要:

    基于络病理论,慢性萎缩性胃炎(CAG) 被认为归属络病范畴。笔者试从络病理论辨识CAG 的微观病理变化,提出CAG 络气郁(虚) 滞-痰瘀阻络(或湿毒滞络) -络阻成积的病机演变过程及孙络瘀阻的基本病理环节两大假说;并结合宏观辨证提出“一辨通散,二辨温凉;治气和络,贯穿始终;宏微互参,和法为先”的三大临证心得,以指导临床遣方用药。

    Abstract:

    Abstract: Based on theory of collaterals disease, it is considered that chronic atrophic gastritis(CAG) is a collaterals disease. The authors identify the microscopic pathological changes of CAG from theory of collaterals disease,and put forward two hypotheses: the pathogenesis evolution process of CAG is from collateral qi constraint(deficiency) and stagnation to phlegm stasis obstruct the collaterals(or dampness toxin stagnate the collaterals) and to accumulation of collateral obstruction, as well as the basic pathological link of stasis of minute collateral. Combined with macroscopic syndrome differentiation,the authors put forward three clinical experience thoughts,namely first differentiate Dredging collaterals and dispersing knots, then differentiate warm or cool; the treatment of qi and collaterals runs through the whole process; harmonization treatment method goes first and combined with mutual reference of microcosmic and macroscopic syndrome differentiation. The three thoughts aim to to guide the application of prescription and drug in clinic.

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马伟明,谷红苹,姜宏伟,康年松.基于络病理论论治慢性萎缩性胃炎[J].新中医,2021,53(15):185-187

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  • 在线发布日期: 2021-08-10
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