国医大师李佃贵教授基于“浊毒”分析慢性萎缩性胃炎胃镜及舌象特征

Analysis of gastroscopic and tongue features of chronic atrophic gastritis based on “turbidity” by Professor LI Diangui，national master of traditional Chinese medicine

关键词:  慢性萎缩性胃炎  胃镜图像  舌象  李佃贵  经验

Key words:  chronic atrophic gastritis  gastroscopic images  tongue images  LI Diangui  experience

摘要:

慢性萎缩性胃炎是由多种致病因素引发的胃黏膜慢性炎性反应及萎缩样改变，临床表现缺乏特异性，具有高复发性、难以彻底治愈的特点，并伴有一定的胃癌发生风险。国医大师李佃贵教授首创“浊毒理论”，认为慢性萎缩性胃炎的核心病机为浊毒内蕴。在临床诊疗中，李教授运用化浊解毒法治疗慢性萎缩性胃炎，将胃镜图像与舌象结合，以其独特的视角诠释了胃镜图像与舌象特征随病情进展而发生的变化。借助这一理论框架，有望深化临床医师对慢性萎缩性胃炎患者病情动态发展的理解，从而精准指导临床用药，为病情变化及预后转归等提供新的思路。

Abstract:

Chronic atrophic gastritis is a chronic inflammatory condition characterized by atrophic changes in the gastric mucosa，resulted from various pathogenic factors. The clinical manifestations are lack of specificity，with the characteristics of high recurrence，difficult to cure completely，and accompanied by a certain risk of gastric cancer. LI Diangui，a renowned master of traditional Chinese medicine，initiated the “turbidity poison theory”，and believed that the core pathogenesis of chronic atrophic gastritis is attributed to turbidity and toxins. In his clinical diagnosis and treatment，Professor LI employed methods of turbidity reduction and detoxification to address chronic atrophic gastritis. He integrated gastroscopic images with tongue diagnostics images，interpreting the changes in these images as reflective of disease progression from a unique perspective. With the help of this theoretical framework，it is aimed to enhance clinicians’ understanding of the dynamic development of patients with chronic atrophic gastritis，thereby facilitating more accurate clinical guidance for medication and offering new insights into disease progression and prognostic outcomes.