摘要
基于慢性萎缩性胃炎炎癌转化的机制,探讨并总结刘华一教授从“痰瘀浊毒”理论论治慢性萎缩性胃炎的经验。刘华一教授认为慢性萎缩性胃炎的炎癌转化阶段,既有脾胃气阴的亏虚,又有瘀血、痰饮、浊毒等内蕴。刘华一教授在治疗本病时,提出慢性萎缩性胃炎防癌治疗三大法则:一当扶正补虚,二当消瘀化痰,三当解毒消癥,予扶正消瘀化浊毒方随证加减,可有效控制甚至逆转胃黏膜萎缩、肠上皮化生、非典型增生的程度,从而达到延缓、控制慢性萎缩性胃炎炎癌转化的效果,并附医案一则,为慢性萎缩性胃炎癌前病变的治疗提供新的思路。
Based on the mechanism of inflammation and cancer transformation of chronic atrophic gastritis,this paper discusses and summarizes Professor Liu Huayi’s experience in treating chronic atrophic gastritis from the theory of“phlegm stasis and turbid toxin”.Professor Liu Huayi believes that the inflammatory and cancerous transformation stage of chronic atrophic gastritis not only has the deficiency of spleen and stomach qi and yin,but also has the connotation of blood stasis,phlegm,and turbid toxin.Professor Liu Huayi puts forward three principles of cancer prevention and treatment of chronic atrophic gastritis in treating this disease:first,strengthening spleen and body resistance;second,removing blood stasis and phlegm;third,detoxification and elimination of abdominal mass.Fuzheng Xiaoyu Huazhuodu Prescription is added and subtracted with syndrome,which can effectively control or even reverse the degree of gastric mucosal atrophy,intestinal metaplasia and atypical hyperplasia,so as to delay and control the transformation of chronic atrophic gastritis to cancer.A medical case is attached to provide a new idea in treating precancerous lesions of chronic atrophic gastritis.
作者
班彦然
张楠楠
李昱芃
刘华一
BAN Yanran;ZHANG Nannan;LI Yupeng;LIU Huayi(Graduate School,Tianjin University of Traditional Chinese Medicine,Tianjin301617,China;Department of Spleen and Stomach Diseases,Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin300120,China)
出处
《中国医药导报》
CAS
2022年第12期142-146,共5页
China Medical Herald
基金
天津市科技计划项目(16YFZCSY01070)。
关键词
慢性萎缩性胃炎
胃癌前病变
痰瘀浊毒
刘华一
名医经验
Chronic atrophic gastritis
Precancerous lesions of gastric cancer
Phlegm stasis and turbid toxin
Liu Huayi
Experience of famous doctors
