摘要
幽门螺杆菌感染是发生慢性胃炎最重要因素之一,早期多数患者无症状表现。幽门螺杆菌隐匿致病的特点与中医伏邪理论有相通之处。文章通过运用中医伏邪理论,将传统望闻问切与现代科学诊疗技术相结合,整体辨析幽门螺杆菌感染慢性胃炎病机演变及预后转归。最终将其归纳为:以邪伏不发、湿阻气机为始,发而显微、湿郁化热为渐,痰瘀入络、邪显成巢为著;并探讨疾病各阶段诊断可能存在漏诊误判的情况发生。以期为提高中医临证辨析幽门螺杆菌感染慢性胃炎提供重要的理论参考。
Helicobacter pylori(Hp)infection is one of the most critical factors in the development of chronic gastritis,and most patients have no apparent symptoms in the early stages.The characteristics of Hp's insidious pathogenicity are similar to the theory of latent pathogen.This paper analyses the evolution and prognosis of Hp infection in chronic gastritis in a dynamic and holistic way by applying the theory of latent pathogen and combining traditional diagnostic techniques with modern scientific diagnostic techniques.This paper summarizes the evolution of the pathogenesis of Hp-infected chronic gastritis as follows:the beginning of the pathogenesis of the disease is that the latent pathogen is hidden and the dampness blocks the qi,the beginning of the pathogenesis is that the dampness becomes microscopic and the dampness becomes heat,and the phlegm becomes phlegm and stasis enters the ligaments and the latent pathogen becomes nesting.It is also discussed the possibility of misdiagnosis and misinterpretation in the diagnosis of various stages of the disease,in hope to provide important theoretical references for the improvement of traditional chinese medicine diagnosis of Hp infection in chronic gastritis.
作者
张杨毅
林振文
李灿东
陈凌琦
ZHANG Yangyi;LIN Zhenwen;LI Candong;CHEN Lingqi(Fuzhou Hospital of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350001,China;Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2024年第7期3368-3371,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
伏邪理论
中医诊断学
幽门螺杆菌
慢性胃炎
病机演变
整体观
伏湿病邪
Theory of latent pathogen
Traditional Chinese medicine diagnosis
Helicobacter pylori(Hp)
Chronic gastritis
Pathogenesis evolution
Holistic view
Hidden dampness
