摘要
胃癌前病变属于病理组织学概念的范畴,指具有恶性转化可能的胃黏膜改变。本病的基本病机主要为脾胃功能虚弱、中焦升降失和,虚实夹杂为转变规律,胃络瘀阻为发病的病理关键,湿浊犯胃为本病发病的重要环节。本病的治疗亦是当下临床治疗的热点和难点,中医药在辨证治疗本病方面具有一定特色。徐进康教授根据吴门医派和孟河医派脾胃病辨治理论,主张用哲学和辩证法思想确立辨治的思路,提出“辨病-辨证-辨主症-辨体质”四位一体的临证思维模式,能够更精准地把握胃癌前病变的邪正虚实、病程演变及预后发展,从而能够更好地延缓胃癌前病变的进程。徐进康教授对胃癌前病变的学术经验是对传统辨证施治的继承和发展,体现了与时俱进的精神,具有一定的临床实用性。
Precancerous lesions of gastric cancer are gastric mucosal changes with the possibility of malignant transformation.The weakness of the spleen and stomach,the disharmony of the rise and fall of the spleen and stomach are the pathogenesis of the disease,the mixture of deficiency and deficiency is the transformation law,the stasis of the stomach is the pathological key of the disease,and the dampness invading the stomach is an important link of the disease.The treatment of the disease is also the hot spot and difficult point in the current clinical treatment.Traditional Chinese medicine has certain characteristics in the treatment of the disease.According to the diagnosis and treatment theories of spleen and stomach diseases of the Wumen School of Medicine and the Meng He School of Medicine,Professor Xu Jinkang advocates the use of philosophy and dialectics to establish the thinking of differentiation and treatment,and proposes the four-part clinical thinking mode of"differentiation of disease,differentiation of syndrome,differentiation of main symptom and differentiation of constitution",which can more accurately grasp the evil,positive,weak and solid,disease course evolution and prognosis development of precancerous lesions of gastric cancer.Therefore,it can better delay and delay the process of gastric cancer prelesions.It is the inheritance and development of traditional syndrome differentiation and treatment,embodies the spirit of advancing with The Times,and has certain clinical practicability.Case 1 is attached for proof.
作者
徐倩菲
徐进康
XU Qian-fei;XU Jin-kang(Spleen Stomach,Liver and Gallbladder Department of Kunshan Traditional Chinese Medicine Hospital,Kunshan Jiangsu 215300,China)
出处
《中华养生保健》
2024年第11期169-172,共4页
CHINESE HEALTH CARE
基金
江苏省第四批省名老中医药专家传承工作室建设项目
江苏省中医药科技发展计划项目(YB201958)。
关键词
名医经验
胃癌前病变
徐进康
中医辨治
distinguished doctor's experience
precancerous lesions of gastric cancer
Xu Jinkang
differentiation and treatment of TCM
