| 商婷婷,叶丽红.叶丽红教授治疗慢性萎缩性胃炎经验[J].浙江中医药大学学报,2020,44(5):455-457, 461. |
| 叶丽红教授治疗慢性萎缩性胃炎经验 |
| Professor YE Lihong's Experience in Diagnosing and Treating Chronic Atrophic Gastritis |
| DOI：10.16466/j.issn1005-5509.2020.05.011 |
| 中文关键词: 慢性萎缩性胃炎 益气养阴 清热解毒 活血化瘀 医案 叶丽红 治疗经验 |
| 英文关键词: chronic atrophic gastritis invigorate Qi and nourish Yin clear heat and detoxify promote blood circulation and remove blood stasis medical records YE Lihong treatment experience |
| 基金项目:江苏中医管理局章永红名中医工作室建设项目(2016YL01107) |
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| 中文摘要: |
| [目的]总结叶丽红教授治疗慢性萎缩性胃炎的经验。[方法]通过临床跟诊，从病因病机、辨证分型、治疗经验三个方面总结叶丽红教授治疗慢性萎缩性胃炎的的经验，并予病案佐证。[结果]叶丽红教授认为慢性萎缩性胃炎可分为脾胃气虚、胃阴不足、脾胃湿热、肝胃不和、胃络血瘀五种证型。根据临床经验，叶师认为脾气虚、胃阴虚是该病发生的根本，湿热蕴结、血瘀胃络是疾病发生发展的重要病理因素，以益气养阴、清热解毒、活血化瘀为治疗大法。所举病例以热瘀互结、胃阴不足为主要病机，治疗以清热化瘀、健脾益胃为主，兼配伍解毒抗癌之品，8个月后复查胃镜提示转为慢性非萎缩性胃炎且不伴有肠上皮化生。[结论]叶丽红教授认为慢性萎缩性胃炎本虚标实，脾胃虚弱贯穿疾病的始终，湿热、瘀血是本病最多见的病理因素，治疗强调标本兼顾，临床疗效显著，能够有效逆转病理性萎缩，防止癌前病变的进一步发展。 |
| 英文摘要: |
| [Objective] To conclude Professor YE Lihong's clinical experience in treating chronic atrophic gastritis. Through the clinical study， the experience of treating the disease is summarized from the three aspects of the pathogenesis: Etiology， pathogenesis， syndrome differentiation and treatment experience， and with a case for evidence.[Results]Professor YE Lihong believes that chronic atrophic gastritis can be divided into five types: Spleen and stomach Qi deficiency， stomach Yin deficiency， spleen and stomach dampness， liver and stomach disharmony， and stomach Qi and blood stasis. According to clinical experience， she holds the view that spleen Qi deficiency and stomach Yin deficiency are the root of the disease， and that damp-heat and blood stasis are important pathological factors in the occurrence of the disease. She uses supplementing Qi and nourishing Yin，heat-clearing and detoxifying and promoting blood circulation and removing blood stasis as the treatment principle. The patient got good results through clearing away heat and removing blood stasis， fortifying the spleen and boosting the stomach， and combining detoxification with anti-cancer herbs.Professor YE Lihong believes that the disease is a complexity of asthenia in origin and excess of superficiality， the weakness of spleen and stomach is throughout the disease， and damp heat and blood stasis are the most common pathological factors in this disease. The clinical curative effect is remarkable. In particular， it can reverse pathological atrophy and prevent further development of precancerous lesions. |
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