摘要
程万里老师认为慢性胃炎的病因有六淫侵袭、饮食不节或不洁、劳逸过度、精神情志不舒或抑郁等诸多因素,但是发病与否取决于人体及脾胃是否强健,脾胃强健虽受病邪侵袭,但不一定患病,即使患病也易痊愈,更不会转变成"慢性胃病"。慢性胃炎多为年深日久、反复发作,病久则更易导致脾胃虚弱,故多为虚证,治疗则多用"虚则补之"的原则,方选香砂六君子汤;属脾胃虚寒者,常见舌淡不渴、畏寒喜暖、脉迟缓等,最常选用干姜、高良姜、吴茱萸、肉桂、附子(半夏与附子属于配伍禁忌,但是程万里老师临床常同用二药未见毒副反应);属胃热证者,常见口渴心烦、舌赤苔黄、脉数,最常用蒲公英、黄芩、炒栀子、连翘;属胃阴虚者,常见口干咽燥、舌光少苔、脉细数,最常选用百合、石斛、麦冬、沙参、玉竹、生地黄。此外慢性浅表性胃炎日久不愈,可发展为慢性萎缩性胃炎,并有癌变之可能,程万里老师用药时常选用生黄芪、莪术、白花蛇舌草、薏苡仁;胃酸缺乏者常选用乌梅、山楂以生津。
Director Cheng Wan-li thinks that chronic gastritis is due to six climatic pathogenic factors,improper or unclean diet,excessive labor and rest,mental and emotional discomfort or depression and other factors,but the incidence depends on whether the human body and the spleen and stomach are strong or not.If the spleen and stomach are strong,disease may not occur even attacked by pathogens,or the patient will recover even suffering the disease,and not much less than devolve into ＂ chronic stomach disease＂.Chronic gastritis is mainly timeworn,recurrent,chronic disease more easily leading to spleen and stomach weakness,so it often belongs to deficiency syndrome.Illness of deficiency type should be treated by tonifying method.The chosen prescription is Decoction of Rhizome Cyperi and Fructus Amomi with Six Noble Ingredients.The syndrome of deficient and cold spleen and stomach is often manifested as pale tongue,no thirst,aversion to cold,desire for warm,slow pulse,etc.Ganjiang（Rhizoma Zingiberis）,Gaoliangjiang（Rhizoma Alpiniae Officinarum）,Wuzhuyu（Fructus Evodiae）,Rougui（Cortex Cinnamomi）,Fuzi（Radix Aconiti Lateralis Praeparata） are often used.Banxia（Rhizoma Pinelliae） and Fuzi（Radix Aconiti Lateralis Praeparata） belong to compatibility taboo,but director Cheng often uses them together in clinical practice and doesn＇ t find toxic and side effects.The syndrome of stomach heat is often manifested as thirst,vexation,reddish tongue,yellowish coating,and rapid pulse,so Pugongying（Herba Taraxaci）,Huangqin（Radix Scutellariae）,fried Zhizi（Fructus Gardeniae） and Lianqiao（Fructus Forsythiae） are often used.The syndrome of stomach yin deficiency is often manifested as dry mouth and throat,little coating,thin and rapid pulse,so Baihe（Bulbus Lilii）,Shihu（Caulis Dendrobii）,Maidong（Radix Ophiopogonis）,Shashen（Radix Glehniae）,Yuzhu（Rhizoma Polygonati Odorati） and Shengdihuang（Radix Rehmanniae） are often used.Besides,chronic superficial gastritis can be develope
作者
井庆彦
JING Qing-yan(Tianjin Wuqing District Hospital of TCM ,Tianjin, China,301700)
出处
《河南中医》
2018年第4期527-530,共4页
Henan Traditional Chinese Medicine
关键词
慢性胃炎
香砂六君子汤
气血并顾
条畅气机
程万里
chronic gastritis
Decoctian of Rhizome Cyperi and Fructus Amomi with Six Noble Ingredients
nourishing both qi and blood
regulating qi activity
Cheng Wan-li
