从脾胃湿热、虚、瘀论治胃癌前病变
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R256.3

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福建省中医药科研课题(2017FJZYJC206);福建省卫健委中青年骨干人才培养项目(2019-ZQN-79);福建中医药大学中医脾胃学 科开放课题(X2019014-学科)


Discussion on Treating Precancerous Lesions of Gastric Cancer from Dampness-Heat, Deficiency and Stasis of Spleen and Stomach
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    摘要:

    脾胃湿热、虚、瘀是胃癌前病变(PLGC) 的重要病机,其中,PLGC 前期、中期病机以脾胃湿热为主,脾胃湿热证的形成多与外感邪毒(如幽门螺杆菌感染)、个人体质、气候时令、所处地域、饮食结构、情志因素等相关,治疗以清化湿热为主,兼以理气舒络健脾;PLGC 后期病机为湿热化虚、化瘀,虚瘀兼杂,故以健脾补肾、散瘀通络为主要治则,兼清湿热余邪。从脾胃湿热、虚、瘀论治PLGC 对于胃癌的二级预防具有重要意义。

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    Abstract : Damp- heat , deficiency and blood stasis of spleen and stomach are important pathogenesis of precancerous lesions of gastric cancer(PLGC). Among them, the main pathogenesis of PLGC at the the early and middle stages is the dampness-heat of spleen and stomach. The formation of syndrome of dampness-heat of spleen and stomach is mainly related to exogenous pathogenic factors(such as Helicobacterpylori infection), personal constitution, climate and seasons,location,dietary structure,emotions and other factors. The treatment is mainly to clear and dissolve dampnessheat, and to regulate qi, relax the collaterals and fortify the spleen. In the late stage of PLGC, the pathogenesis is dampness-heat forming into deficiency and stasis , and mixed with both deficiency and stasis. Therefore , the main treatment principle is to fortify the spleen and supplement the kidney,disperse stasis and unblock collaterals,and to clear dampness- heat and residual pathogenic factors. Treating PLGC from dampness- heat,deficiency and stasis of spleen and stomach is of great significance for the secondary prevention of gastric cancer.

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林翠丽,黄健,陈琴,林翔英,黄铭涵,黄晓峰.从脾胃湿热、虚、瘀论治胃癌前病变[J].新中医,2021,53(14):108-111

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  • 在线发布日期: 2021-07-24
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