“因热成毒致虚”三期廓清理论辨治自身免疫性胃炎经验

张忠绵; 张希颜; 韩睿; 卢晓曼; 王岚; 叶王宇; 陈嘉钦; 林子力; 李志红

doi:10.16025/j.1674-1307.2023.07.024

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“因热成毒致虚”三期廓清理论辨治自身免疫性胃炎经验

学术探讨 | 更新时间：2023-08-24

- “因热成毒致虚”三期廓清理论辨治自身免疫性胃炎经验
- Differentiation and treatment of autoimmune gastritis with three-stage Kuo-Qing theory of "deficiency due to heat and toxicity"
- 北京中医药 2023年42卷第7期页码：792-794
- 作者机构：
  
  1.北京中医药大学东直门医院脾胃病科，北京 100700
  2.北京固生堂中医医院脾胃病科，北京 100011
- 作者简介：
  
  张忠绵，女，28岁，博士研究生，住院医师。研究方向：中医药防治胃癌前病变。
  李志红，E-mail：lzhls1966@126.com
- 基金信息：
  
  国家自然科学基金资助项目(82074187);北京市东直门科技创新项目(DZMKJCX-2022-014);北京市自然科学基金资助项目(7232290)
- DOI：10.16025/j.1674-1307.2023.07.024
  中图分类号：
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张忠绵，张希颜，韩睿，等.“因热成毒致虚”三期廓清理论辨治自身免疫性胃炎经验［J］.北京中医药，2023，42（7）：792-794.

ZHANG Zhong-mian,ZHANG Xi-yan,HAN Rui,et al.Differentiation and treatment of autoimmune gastritis with three-stage Kuo-Qing theory of "deficiency due to heat and toxicity"[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(07):792-794.
张忠绵，张希颜，韩睿，等.“因热成毒致虚”三期廓清理论辨治自身免疫性胃炎经验［J］.北京中医药，2023，42（7）：792-794. DOI： 10.16025/j.1674-1307.2023.07.024.

ZHANG Zhong-mian,ZHANG Xi-yan,HAN Rui,et al.Differentiation and treatment of autoimmune gastritis with three-stage Kuo-Qing theory of "deficiency due to heat and toxicity"[J]. Beijing Journal of Traditional Chinese Medicine,2023,42(07):792-794. DOI： 10.16025/j.1674-1307.2023.07.024.

摘要

自身免疫性胃炎（AIG）作为进展性疾病，病机复杂，病程较长，结合内镜下微观表现与中医宏观理论，根据AIG病理组织学及内镜下表现，将其分为三期。以“廓清论”为治疗总纲，病初在气，病机在热气结盛，治当清热泻实通腑；病进入血，病机在毒热积聚，治当以理气解毒散结；病久致虚，病机在耗气败血，治当益胃和肝健脾。

Abstract

Being a progressive disease， autoimmune gastritis （AIG） has a complicated pathogenesis and a long course， based on endoscopic microscopic manifestations and macroscopic theory of Chinese medicine，AIG is divided into three stages according to its pathological histology and endoscopic manifestations. With "Kuo-Qing theory" as the general outline of treatment，the disease starts with Qi， and the mechanism of the disease is heat and Qi accumulation， so the principle of treatment is clearing heat， reducing the excess and smoothing the internal Fu organs； when the disease enters the blood，the mechanism of the disease is toxic-heat accumulation， so the treatment should be to regulate Qi， detoxify and disperse the nodules； when the disease is prolonged and causes deficiency， the mechanism of the disease is depletion of Qi and blood， so the treatment should be to benefit the stomach， sooth the liver and strengthen the spleen.

关键词

自身免疫性胃炎廓清论因热成毒致虚微观理论

Keywords

Autoimmune gastritisKuo-Qing theorydeficiency due to heat and toxicitymicroscopic theory

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