沈洪教授基于气血阴阳理论运用角药治疗慢性萎缩性胃炎经验OA
Professor SHEN Hong's Experience in Treating Chronic Atrophic Gastritis Using Herbal Triads Based on the Qi,Blood,Yin and Yang Theory
沈洪教授以气血阴阳理论为指导,认为脾胃气虚是慢性萎缩性胃炎的发病之本,湿浊、食积、气郁是发病之始,指出湿、食、郁日久可致阴虚、阳虚、血瘀.治疗上,灵活运用健脾、化湿、消食、解郁、养阴、温阳、化瘀七法,辨证施治,根据不同的病机特点总结出7组角药,促病向愈.初期,脾虚以党参-白术-薏苡仁健脾益气,湿浊以茯苓-砂仁-草豆蔻化湿祛浊,食积以炒麦芽-炒谷芽-焦六神曲消食化积,肝郁以柴胡-白芍-当归疏肝解郁;后期,阴虚以北沙参-麦冬-五味子养阴生津,阳虚以黄芪-桂枝-炮姜温阳益气,血瘀以莪术-石见穿-白花蛇舌草活血化瘀.
Guided by the Qi,Blood,Yin,and Yang Theory,Professor SHEN Hong believes that spleen-stomach qi deficiency is the root cause of chronic atrophic gastritis,while dampness turbidity,food stagnation,and qi stagnation are the onset of the disease.Professor SHEN points out that prolonged these syndromes can lead to yin deficiency,yang deficiency,and blood stasis.In terms of treatment,seven methods are flexibly applied:strengthening the spleen,resolving dampness,promoting digestion,relieving stagnation,nourishing yin,warming yang,and resolving stasis.Based on different pathological characteristics,seven groups of herbal triads are summarized to facilitate recovery.In the early stage,spleen deficiency is addressed with Dangshen(Codonopsis pilosula)-Baizhu(Atractylodes macrocephala)-Yiyiren(Coicis semen)to strengthen the spleen and replenish qi;dampness turbidity is addressed with Fuling(Poria cocos)-Sharen(Amomum villosum)-Caodoukou(Alpinia katsumadai)to resolve dampness and eliminate turbidity;food stagnation is addressed with fried malt(Hordei fructus germinatus)-fried rice sprout(Oryzae fructus germinatus)-charred Jiao Liushenqu(Massa medicata fermentata)to promote digestion and resolve stagnation.Liver qi stagnation is addressed with Chaihu(Radix)-Baishao(Paeoniae radix alba)-Danggui(Angelicae sinensis Radix)to soothe the liver and relieve stagnation.In the later stage,yin deficiency is addressed with Beishashen(Glehniae radix)-Maidong(Ophiopogonis radix)-Wuweizi(Schisandrae chinensis fructus)to nourish yin and promote fluid production;yang deficiency is addressed with Huangqi(Astragalus radix)-Guizhi(Cinnamomi ramulus)-Paojiang(Zingiberis rhizoma praeparatum)to warm yang and replenish qi.Blood stasis is addressed with Ezhu(Curcuma zedoaria)-Shijianchuan(Salvia chinensis)-Baihuasheshecao(Hedyotis diffusa)to activate blood circulation and resolve stasis.
廖家明;沈洪
南京中医药大学附属医院,江苏 南京 210029南京中医药大学附属医院,江苏 南京 210029
气血阴阳慢性萎缩性胃炎角药名医经验沈洪
Qi and bloodYin and yangChronic atrophic gastritisHerbal triadsMaster physician's clinical experienceSHEN Hong
《中医药信息》 2026 (4)
52-56,5
国家中医药管理局高水平中医药重点学科项目(中医脾胃病学)(国中医药人教函[2023]85号)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[2022]75号)江苏省中医药管理局重点项目(ZD202212)
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