中医药导报2023，Vol.29Issue(11)：138-142,5.DOI:10.13862/j.cn43-1446/r.2023.11.026
基于"阳道实,阴道虚"理论探析慢性萎缩性胃炎"炎癌转化"的病因病机与防治思路
Analysis of Etiology,Pathogenesis,and Prevention and Treatment Strategies of Chronic Atrophic Gastritis with"Inflammation-cancer Transformation"Based on the Theory of"Yang often in Excess,while Yin in Deficiency"
摘要
Abstract
Based on the theory of"Yang often in Excess,while Yin in Deficiency",this article analyzed the etiology,pathogenesis,and prevention and treatment strategies of chronic atrophic gastritis(CAG).In terms of etiology and pathogenesis,the spleen belongs to Yin,spleen diseases are often deficient,and spleen deficiency leads to dysfunction of Qi and blood conversion function.Due to deficiency,pathogenic factors are generated and pathological products are formed,which run through the whole process of the occurrence and development of gastric mucosal lesions.Therefore,"Yin in Deficiency"is the root of"inflammation-cancer transformation".The stomach belongs to Yang,stomach diseases are often excess.The Yangming meridian has too many Qi and blood,and after a long time,the blood enters the collaterals and formed stasis.External pathogens such as Helicobacter pylori(Hp)infection invade the stomach,combined with factors such as Qi stagnation and other factors,all of which block the stomach and fight against each other,indicating symptoms of excess of evil.Inflammatory factors infiltrate and develop,leading to pathological changes in the gastric mucosa.Therefore,"Yang often in Excess"is an important factor in"inflammation-cancer transformation".In terms of prevention and treat-ment,for the"Yin in Deficiency",the deficiency should be replenished,and the deficiency of spleen should be fundamentally replenished.For the"Yang often in Excess",the excess should treated by draining,and reducing the excess of stomach on the basis of reinforcing the deficiency of spleen.Removing blood stasis,detoxifying and relieving depression,strengthening the body and eliminating pathogenic factors,and balancing Yin and Yang,so as to prevent and treat the"Inflammation-cancer transformation"of CAG to a certain extent.关键词
慢性萎缩性胃炎/阳道实/阴道虚/炎癌转化/脾虚胃实/防治思路Key words
chronic atrophic gastritis/Yang often in excess/Yin in deficiency/inflammation cancer transfor-mation/spleen deficiency and stomach excess/prevention and treatment strategies分类
医药卫生引用本文复制引用
罗楠,李萌,田志华,陈丁铭,王少丽,刘震..基于"阳道实,阴道虚"理论探析慢性萎缩性胃炎"炎癌转化"的病因病机与防治思路[J].中医药导报,2023,29(11):138-142,5.基金项目
国家自然科学基金项目(82174352) （82174352）
首都卫生发展科研专项项目(首发2020-2-4152) （首发2020-2-4152）
中国中医科学院广安门医院所级课题(2019S445) （2019S445）
国家中医药多学科交叉创新团队项目(ZYYCXTD-D-202205) （ZYYCXTD-D-202205）
