| 王子叶,储浩然,廖路敏,等.储浩然“中焦五法”辨治慢性萎缩性胃炎经验探析[J].浙江中医药大学学报,2024,48(10):1244-1248. |
| 储浩然“中焦五法”辨治慢性萎缩性胃炎经验探析 |
| Exploration and Analysis of Professor CHU Haoran’s Clinical Experience in the Diagnosis and Treatment of Chronic Atrophic Gastritis Using the“ Five Methods for Treating Middle-Jiao” |
| DOI：10.16466/j.issn1005-5509.2024.10.007 |
| 中文关键词: 慢性萎缩性胃炎 中焦五法 调中致衡 针药结合 辨证论治 经验总结 验案 储浩然 |
| 英文关键词: chronic atrophic gastritis five methods for treating middle-Jiao adjust the middle-Jiao for balance combination of acupuncture and medicine treatment based on syndrome differentiation summary of experience medical cases CHU Haoran |
| 基金项目:国家自然科学基金面上项目(81774399)；储浩然全国名老中医药专家传承工作室(国中医药人教函〔2022〕75号)；安徽省中医药领军人才(中医药发展秘〔2018〕23号)；安徽中医药大学科研基金项目(2021zryb06);安徽省临床医学研究转化专项(202204295107020046);新安医学与中医药现代化研究所“揭榜挂帅”项目(2023CXMMTCM017) |
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| 中文摘要: |
| [目的] 总结储浩然教授“中焦五法”辨治慢性萎缩性胃炎的临床经验。[方法] 通过随诊学习，精读储教授治疗慢性萎缩性胃炎相关医案，归纳储教授对此病的认识，分析储教授运用中焦五法的精髓，并举验案一则进一步佐证。[结果] 储教授认为，脾虚是慢性萎缩性胃炎发生的根本，后复感内外之邪，而致盈亏失和、疏泄失度、纳运失常、阴阳失调、瘀血壅滞，终见中焦失衡。临证强调以补法为基础，确立“温中焦、实中焦、醒中焦、润中焦、疏中焦”之五法，临床活用精简之针药以调中致衡。所举验案为肝胃不和型吐酸，治以针药行气实中、疏肝和胃，配合手法镇痛，使中焦复衡，终见良效。[结论] 储教授治疗慢性萎缩性胃炎，强调从中焦入手，辨治、取穴、手法三因制宜，以调周身气血，疗效稳定，特色鲜明，值得推广及深入研究。 |
| 英文摘要: |
| [Objective] To summarize Professor CHU Haoran’s clinical experience in using the “five methods of middle-Jiao” to treat chronic atrophic gastritis. [Method] By clinical follow-up learning， reading carefully Professor CHU Haoran’s medical cases related to the treatment of chronic atrophic gastritis， summarizing Professor CHU’s understanding of this disease， and analyzing the essence of Professor CHU’s use of the five methods for treating middle-Jiao， it provides one case study for fur?ther research. [Result] Professor CHU believes that spleen deficiency is the fundamental cause of chronic atrophic gastritis，based on this， and then influenced by internal and external evil Qi， there is a loss of balance in profit and loss， liver dys?function and laxity， abnormal absorption and transportation， imbalance of Yin and Yang， and stagnation of blood stasis， ulti?mately leading to an imbalance in the central energizer.In the treatment， putting tonifying method first， the five methods of“warming， strengthening， enlivening， moistening and dispersing the middle-Jiao” are established， simplifying the use of acu?puncture and moxibustion and traditional Chinese medicine to achieve balance in clinical practice. The case was acid vomiting caused by disharmony of the liver and stomach. The treatment used the method of promoting Qi and strengthening middle-Jiao to soothe the liver and regulate the stomach， combined with acupuncture techniques to alleviate pain， restore balance of the middle-Jiao， and ultimately achieved good results. [Conclusion] Professor CHU’s treatment of chronic atrophic gastritis empha?sizes starting from the middle-Jiao， based on syndrome differentiation， acupuncture acupoint selection and acupuncture manipu?lation， in order to regulate the Qi and blood of the whole body. The therapeutic effect is stable and distinctive， which is wor?thy of promotion and in-depth study. |
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