中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
20期
70-71
,共2页
谢文英%慢性浅表性胃炎%疏肝解郁
謝文英%慢性淺錶性胃炎%疏肝解鬱
사문영%만성천표성위염%소간해욱
XIE Wen-ying%Chronic superficial gastritis%Shugan Jieyu
慢性浅表性胃炎是指不伴有胃黏膜萎缩性改变、胃黏膜层见以淋巴细胞和浆细胞为主的慢性炎症细胞浸润的慢性胃炎,又称非萎缩性胃炎,属中医所说“胃痞”、“胃痛”等范畴。随人们生活节奏加快,近年来本病患病率呈逐年上升趋势。谢文英教授认为胃为阳土,肝为风木,久郁伤肝,肝气横逆,势必克伐脾胃,胃失和降,胃气阻滞为本病主要病机,故临证辨治应从疏肝行气立论,但不能拘泥于此,还应参诊要旨意,依法遣方灵活加减。
慢性淺錶性胃炎是指不伴有胃黏膜萎縮性改變、胃黏膜層見以淋巴細胞和漿細胞為主的慢性炎癥細胞浸潤的慢性胃炎,又稱非萎縮性胃炎,屬中醫所說“胃痞”、“胃痛”等範疇。隨人們生活節奏加快,近年來本病患病率呈逐年上升趨勢。謝文英教授認為胃為暘土,肝為風木,久鬱傷肝,肝氣橫逆,勢必剋伐脾胃,胃失和降,胃氣阻滯為本病主要病機,故臨證辨治應從疏肝行氣立論,但不能拘泥于此,還應參診要旨意,依法遣方靈活加減。
만성천표성위염시지불반유위점막위축성개변、위점막층견이림파세포화장세포위주적만성염증세포침윤적만성위염,우칭비위축성위염,속중의소설“위비”、“위통”등범주。수인문생활절주가쾌,근년래본병환병솔정축년상승추세。사문영교수인위위위양토,간위풍목,구욱상간,간기횡역,세필극벌비위,위실화강,위기조체위본병주요병궤,고림증변치응종소간행기립론,단불능구니우차,환응삼진요지의,의법견방령활가감。
Chronic superficial gastritis or non-atrophic gastritis is a kind of chronic gastritis, coming along with non-changed mucosal, lymphocytes and plasma cells, chronic superficial gastritis belongs to stomachache in TCM. Morbidity increased in recent years with accelerated pace of life. Prof. XIE Wen-ying considered that stomach was Yangtu;liver was Fengmu, long-time sadness impaired liver, disordered liver qi impaired spleen and stomach, stomach qi raised; stomach qi obstruction was the major cause, so Shugan Xingqi was important in differentiation and treatment, and secondary syndromes should be considered.