中医杂志2026,Vol.67Issue(1):21-25,5.DOI:10.13288/j.11-2166/r.2026.01.004
单兆伟运用三通法治疗慢性萎缩性胃炎经验
SHAN Zhaowei's Experience in Treating Chronic Atrophic Gastritis with the Three-Unblocking Method
摘要
Abstract
This article summarizes Professor SHAN Zhaowei's clinical experience in treating chronic atrophic gastritis based on the"three-unblocking method".It is believed that spleen and stomach qi deficiency,qi stagnation and blood stasis is the core pathogenesis of chronic atrophic gastritis,with the key lying in the dysfunction of spleen and stomach transportation and descending.Therefore,the"three-unblocking method"was proposed,namely promot-ing the flow of yang and and removing turbidity to restore spleen transportation,unblocking the bowels to resolve stag-nation and benefit qi movement,unblocking the meridians to resolve stasis and eliminate masses.In clinic,it is often combined with microscopic syndrome differentiation via gastroscopy.For those with spleen deficiency and damp ob-struction,or yang qi failing to transport,the treatment should unblock yang to transform turbidity;for those with food retention and bowel obstruction,or stagnant qi movement,the treatment should unblock bowels to resolve stagnation;for those with blood stasis and meridian obstruction,or internal masses retention,the treatment should unblock the collaterals and dissolve stasis.The prescription can choose self-formulated Ershen Sancao Decoction(二参三草汤)and combine modification,showing good clinical effectiveness.关键词
慢性萎缩性胃炎/通阳化浊/通腑化滞/通络化瘀/名医经验/单兆伟Key words
chronic atrophic gastritis/promoting the flow of yang and and remove turbidity/unblocking the bowels to resolve stagnation/unblocking the meridians to resolve stasis/experience of famous doctors/SHAN Zhaowei引用本文复制引用
张可,顾培青,单兆伟..单兆伟运用三通法治疗慢性萎缩性胃炎经验[J].中医杂志,2026,67(1):21-25,5.基金项目
国家中医药管理局全国名中医传承工作室建设项目(国中医药办人教函发[2018]119号) (国中医药办人教函发[2018]119号)
中国中医科学院科技创新工程项目(CI2023C011LH) (CI2023C011LH)
国家中医药管理局全国中医临床特色技术传承骨干人才培训项目(国中医药[2019]36号) (国中医药[2019]36号)