CAJ | 학술논문

慢性萎缩性胃炎常可伴发肠上皮化生或不典型增生，因有发生癌变的风险引起广泛重视，而现有研究提示中医在逆转慢性萎缩性胃炎方面可能具有一定的优势。谢晶日教授认为脾胃虚弱是本病发生的基础，瘀血是病理关键，常有肝郁及气阴不足的临床表现。治疗上提出以健脾为要，注重益气养阴，调畅情志，不忘化瘀解毒，以达防治双效，同时病证结合、舌镜互参。
만성위축성위염상가반발장상피화생혹불전형증생，인유발생암변적풍험인기엄범중시，이현유연구제시중의재역전만성위축성위염방면가능구유일정적우세。사정일교수인위비위허약시본병발생적기출，어혈시병리관건，상유간욱급기음불족적림상표현。치료상제출이건비위요，주중익기양음，조창정지，불망화어해독，이체방치쌍효，동시병증결합、설경호삼。
Chronic atrophic gastritis together usually with intestinal metaplasia or dysplasia has received extensive at-tention because of the risk of canceration, and existing research suggests that traditional Chinese medicine may have certain advantages in the aspect of reversing chronic atrophic gastritis. Professor Xie Jingri thinks the weakness of spleen and stomach is a basic reason of the disease, which often has clinical manifestations of stagnation of liver-Qi and deficiency of Qi and Yin, and blood stasis is the pathological key. He has proposed the treatment method. Firstly, strengthening spleen is the key to the treatment, at the same time, supplementing Qi and nourishing Yin and adjusting emotion is also very important. Secondly, in order to achieve the double effect of control and treatment, remembering to remove blood stasis and toxin is necessary. Finally, attaching great importance to tongue diagnosis and combining gas-troscopy is needful.