阴火论与慢性萎缩性胃炎中医治疗探析

Exploration of "Yin-Fire Theory" and the treatment of chronic atrophic gastritis with Traditional Chinese Medicine

关键词:  阴火  元气  李东垣  慢性萎缩性胃炎

Key words:  Yin Fire  primordial Qi  LI Dong-yuan  chronic atrophic gastritis

摘要:

慢性萎缩性胃炎病理演变过程与中医阴火病机理论存在相通之处。脾胃虚弱,元气不足,产生阴火;脾胃元气亏虚,升降失常,脾气下陷,"阴火"上冲,胃络损伤是慢性萎缩性胃炎发病的病机关键。阴火证治疗原则是益气、升阳、降火,从阴火论治为慢性萎缩性胃炎中医治疗提供一条新思路。

Abstract:

There are some mutural communications between the pathogenesis of chronic atrophic gastritis (CAG) and the theory of "Yin Fire" in Traditional Chinese Medicine (TCM).Spleen deficiency and primordial Qi deficiency could be the reason of "Yin Fire".The key reasons for CAG could be the deficiency of spleen and stomach,deficiency of Qi,creation of Yin fire,deficiency and weakness of vital Qi in spleen and stomach,abnormality of ascending and descending function,sinking of QI of spleen,going up of Yin fire,damage of stomach collateral.Based on these reasons,the therapeutic principle should be tonifying primordial Qi,invigorating Splenic Yang and purging pathogenic fire.This theory may provide a new way to treat CAG with TCM.