摘要
崔闽鲁论治慢性胃炎病机属气阳两虚、湿热郁阻、寒热互结,致使升降失调、胃失和降,因此立其治疗原则重在顾护中阳、运脾化湿、消痞除胀、复其升降。慢性胃炎常与心理因素相关,中医从五脏藏神、脾为枢轴及脾胃升降之枢来看,应着重调理脾胃,复其升降,佐以安神之品;认识到幽门螺杆菌感染所导致的慢性胃炎,更贴合中医药学中的湿毒学说。治法上取三因制宜结合闽南地域特点,上半年生长有余,下半年收藏不足,春夏长,秋冬短,湿热多见,体质中阳多见不足,后期脾肾多亏,故在清热化湿的基础上,注重顾护中阳,故多主张温运脾阳以助清化湿热,健脾当先醒脾运脾,并结合现代医学进展进行微观辨证,结合内镜下病变,注重特殊用药加减,后期注重滋肾潜阳,顾其根本,复其升降,值得推广应用。
Cui Minlu’s treatment of chronic gastritis is due to deficiency of qi and yang,stagnation of dampness and heat,and the combination of cold and heat,resulting in the disorder of ascending and descending,stomach disharmony and descending.Therefore,the treatment principle is to take care of the middle yang,transport spleen for eliminating dampness,relieve oppression and eliminate distension,and recover its rise and fall.Chronic gastritis is associated with psychological factors,from the point of view of five viscera storing spirit and spleen as pivot and ascending and descending pivot of spleen and stomach,traditional Chinese medicine should focus on regulating spleen and stomach,restoring its ascending and descending,supplemented with tranquilizing products.The recognition of chronic gastritis caused by Helicobacter pylori infection is more in line with the theory of dampness toxin in traditional Chinese medicine.In terms of treatment,the three factors should be taken into consideration in combination with the regional characteristics of Southern Fujian,in the first half of the year,the growth is more than enough,but in the second half of the year,the collection is insufficient.Spring and summer are long,autumn and winter are short,damp and hot are common,yang in constitution is insufficient,and spleen and kidney are deficient in the later period.Therefore,on the basis of clearing heat and removing dampness,we should pay attention to the care of zhongyang,it is advocated to warm and transport spleen yang to help clear away dampness and heat,combined with the progress of modern medicine,the micro syndrome differentiation,combined with endoscopic lesions,pay attention to the addition and subtraction of special drugs,pay attention to nourishing the kidney and latent yang in the later stage,pay attention to its root,recover its rise and fall,which is worthy of popularization and application.
作者
王雄力
林明育
李春香
陈丽芬
WANG Xiongli;LIN Mingyu;LI Chunxiang;CHEN Lifen(Department of Traditional Chinese Medicine,Anhai Hospital of Jinjiang City,Fujian Province,Jinjiang362261,China;Department of Traditional Chinese Medicine,the Second Affiliated Hospital of Fujian Medical University,Fujian Province,Quanzhou362200,China;Mammary Gland Department of Traditional Chinese Medicine,Jinjiang Hospital of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fujian Province,Jinjiang362200,China)
出处
《中国医药导报》
CAS
2021年第31期147-150,共4页
China Medical Herald
基金
福建省名老中医药专家继承工作室建设项目(闽卫办中医发明电〔2018〕216号)。
关键词
崔闽鲁
慢性胃炎
名老中医
学术思想
临床经验
Cui Minlu
Chronic gastritis
Famous veteran doctors of traditional Chinese medicine
Academic ideology
Clinical experience
