吉林中医药2026，Vol.46Issue(8)：985-990,6.DOI:10.13463/j.cnki.jlzyy.2026.08.008
吕文亮基于"主客浑受"分期辨治幽门螺杆菌胃炎经验
Lyu Wenliang's experience in staged syndrome differentiation and treatment of Helicobacter pylori gastritis based on the theory of"intertwining of host and pathogens"
摘要
Abstract
"Intertwining of host and pathogens"originates from the Treatise on Differentiation and Treatment of Damp-Heat Diseases,referring to the pathological state of spleen deficiency complicated with damp-heat,which then penetrates into the Jueyin meridian.Professor Lyu Wenliang applies the theory to the staged syndrome differentiation and treatment of Helicobacter pylori gastritis.He holds that the fundamental pathogeneses of this disease lie in vital qi deficiency,damp-heat retention,and qi stagnation with blood stasis.His treatment principles are focused on eliminating pathogenic factors,strengthening the body's resistance,and expelling pathogenic factors.In the early stage,his treatment is centered on acrid opening and bitter descending to regulate qi movement;in the middle stage,his treatment focuses on activating blood circulation to unblock collaterals and removing stasis to detoxify;and in the late stage,his treatment emphasizes nourishing stomach yin and reinforcing the body's resistance while eliminating pathogenic factors.In clinical practice,he flexibly applies and modifies formulas such as Banxia Xiexin Decoction,Lianpo Qingyou Decoction,and Shashen Maidong Decoction based on the patients'specific syndromes and physical conditions.Through staged treatment and syndrome differentiation,Lyu Wenliang usually improves patients'symptoms effectively.关键词
Hp胃炎/主客浑受/《湿热条辨》/吕文亮Key words
Helicobacter pylori gastritis/intertwining of host and pathogen/Treatise on Differentiation and Treatment of Damp-Heat Diseases/Lyu Wenliang分类
医药卫生引用本文复制引用
孟昊阳,吕文亮,黄超群..吕文亮基于"主客浑受"分期辨治幽门螺杆菌胃炎经验[J].吉林中医药,2026,46(8):985-990,6.基金项目
国家自然科学基金项目(82505321) （82505321）
第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号) （国中医药人教函[2022]76号）
湖北省中医药管理局资助项目(ZY2025M030) （ZY2025M030）
湖北省科学技术厅自然科学基金项目(2023AFB347) （2023AFB347）
