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于阴阳与基因调控关系辨治胃黏膜上皮内瘤变
单葳葳1, 孙志文1,2, 谢晶日2, 李明2
1.黑龙江中医药大学, 哈尔滨 150040;2.黑龙江中医药大学附属第一医院肝脾胃病科, 哈尔滨 150040
摘要:
胃黏膜上皮内瘤变是胃癌前病变,具有发展为胃癌的危险。阳主动,阴主静,文章基于阴阳理论,衷中参西,微观辨证与宏观辨证结合,以阴阳消长失调和基因调控紊乱的关系为出发点,认为胃黏膜上皮内瘤变发生时胃黏膜细胞凋亡周期紊乱和细胞异常增殖分化是阴阳消长失衡在细胞基因调控水平上的体现,进而探讨胃黏膜上皮内瘤变的病因病机以及辨证论治过程,为中医药治疗胃黏膜上皮内瘤变提供更多的理论依据,丰富治疗该病的临床手段。
关键词:  胃黏膜上皮内瘤变  癌前病变  阴阳理论  基因调控
DOI:10.11656/j.issn.1673-9043.2023.01.09
分类号:R573
基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目[国中医药人教函(2016)42号];国家自然科学基金项目(81473632);黑龙江省博士后资助经费项目(LBH-Z20194)。
Treatment of gastric mucosal intraepithelial neoplasia based on relationship between yin-yang theory and gene regulation
SHAN Weiwei1, SUN Zhiwen1,2, XIE Jingri2, LI Ming2
1.Heilongjiang University of Chinese Medicine, Harbin 150040, China;2.Department of liver, Spleen and Stomach Diseases, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin 150040, China
Abstract:
Gastrointestinal mucosal intraepithelial neoplasia is a former disease of gastric cancer,which has the risk of gastric cancer. Yang is active and yin is static,so the article claimed that the abnormal proliferation and differentiation of in gastric mucosal cells with disordered apoptosis cycle are the embodiment of the imbalance of yin and yang at the level of cell genes based on the relationship between yin and yang disorder and gene regulation disorder,and then explored the etiology,pathogenesis and treatments based on different syndromes and pathogenesis of gastric mucosal intraepithelial neoplasia,to provide more theoretical basis for the traditional Chinese medicine (TCM) treatment of in and enrich the clinical means of the treatment of the disease.
Key words:  gastric mucosal intraepithelial neoplasia  precancerous disease  yin-yang theory  gene regulation
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