从“虚、滞、郁、瘀”病机理论探讨慢性萎缩性胃炎癌前病变微观辨治

班彦然; 方霜霜; 王琳; 卿香丽; 白薇; 杨洋; 魏玮

doi:10.16025/j.1674-1307.2024.09.006

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从“虚、滞、郁、瘀”病机理论探讨慢性萎缩性胃炎癌前病变微观辨治

专题——消化系统疾病“炎-癌”转化的基础与临床研究 | 更新时间：2024-10-14

- 从“虚、滞、郁、瘀”病机理论探讨慢性萎缩性胃炎癌前病变微观辨治
- Microscopic syndrome differentiation and treatment of precancerous lesions of chronic atrophic gastritis based on the pathogenesis theory of “deficiency, stagnation, depression, and stasis”
- 北京中医药 2024年43卷第9期页码：990-995
- 作者机构：
  
  1.中国中医科学院望京医院脾胃病科，北京 100102
  2.北京中医药大学研究生院，北京 100029
- 作者简介：
  
  班彦然，女，27岁，博士研究生。研究方向：中医药防治脾胃病。
  魏玮，E-mail：weiwei3816@mail.cintcm.ac.cn
- 基金信息：
  
  中医药防治消化道癌前疾病传承与创新团队项目(ZYYCXTD-C-202210);中医药传承与创新“百千万”人才工程(GJZYY-2019-QHXZ);中国中医科学院望京医院自主选题专项课题(WJYY-ZZXT-2023-15)
- DOI：10.16025/j.1674-1307.2024.09.006
  中图分类号：
- 纸质出版日期：2024-09-25，
  
  收稿日期：2024-02-26，
- 稿件说明：
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班彦然，方霜霜，王琳，等.从“虚、滞、郁、瘀”病机理论探讨慢性萎缩性胃炎癌前病变微观辨治［J］.北京中医药，2024，43（9）：990-995.

BAN Yanran,FANG Shuangshuang,WANG Lin,et al.Microscopic syndrome differentiation and treatment of precancerous lesions of chronic atrophic gastritis based on the pathogenesis theory of “deficiency, stagnation, depression, and stasis”[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(09):990-995.
班彦然，方霜霜，王琳，等.从“虚、滞、郁、瘀”病机理论探讨慢性萎缩性胃炎癌前病变微观辨治［J］.北京中医药，2024，43（9）：990-995. DOI： 10.16025/j.1674-1307.2024.09.006.

BAN Yanran,FANG Shuangshuang,WANG Lin,et al.Microscopic syndrome differentiation and treatment of precancerous lesions of chronic atrophic gastritis based on the pathogenesis theory of “deficiency, stagnation, depression, and stasis”[J]. Beijing Journal of Traditional Chinese Medicine,2024,43(09):990-995. DOI： 10.16025/j.1674-1307.2024.09.006.

摘要

魏玮教授认为“虚、滞、郁、瘀”是慢性萎缩性胃炎癌前病变发生发展的核心病机，本病的发病主要与脾胃虚损、阻滞不通、情志郁结、脉络瘀阻等因素有关，立足辨证论治，广泛汲取和采纳现代科学技术手段，结合“虚、滞、郁、瘀”核心病机及其物质基础、胃镜检查结果、病理检查结果等，从宏观与微观结合辨治等多角度系统探索慢性萎缩性胃炎癌前病变的物质基础与中医微观辨证的关系，实现中医药客观化、标准化的诊治策略，为本病的病机理论阐释与临床精准辨治提供参考。

Abstract

Professor WEI Wei believes that “deficiency， stagnation， depression， and stasis” are the core pathogenesis of the occurrence and development of precancerous lesions of chronic atrophic gastritis. The onset of this disease is mainly related to factors such as spleen and stomach deficiency， obstruction， emotional depression， and collateral stasis. Based on syndrome differentiation and treatment， modern scientific and technological methods are widely absorbed and adopted. By integrating the core pathogenesis of “deficiency， stagnation， depression， and stasis” with its material basis， gastroscopy results， and pathological findings， a systematic exploration of the relationship between the material basis of precancerous lesions of chronic atrophic gastritis and the microscopic syndrome differentiation of traditional Chinese medicine （TCM） is conducted from multiple perspectives， combining both macro and micro approaches. It enables the realization of an objective and standardized diagnosis and treatment strategy in TCM， providing a reference for the theoretical interpretation of the pathogenesis and precise clinical syndrome differentiation and treatment of this disease.

关键词

虚滞郁瘀慢性萎缩性胃炎胃癌前病变微观辨证宏观辨证

Keywords

Deficiencystagnationdepressionstasischronic atrophic gastritisprecancerous lesions of stomachmicroscopic syndrome differentiationmacroscopic syndrome differentiation

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