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陈伟基于"养正积自除"论治脾胃病经验举隅OA

CHEN Wei's Clinical Experience in Treating Spleen and Stomach Disorders Based on the Theory of Nourishing Healthy Qi to Eliminate Pathogenic Factors

中文摘要英文摘要

陈伟主任认为脾胃病发生的根本原因是脾胃虚弱,治疗上需注重恢复脾胃正气,脾胃得养,积滞自除.文章探讨了陈伟主任运用"养正积自除"治疗脾胃病的临床经验,通过分析"养正积自除"思想的理论渊源及其在脾胃病中的应用,总结其运用该思想的诊疗思路和特色选方用药原则.文中选取临床常见的慢性萎缩性胃炎、功能性便秘、胃肠道肿瘤等脾胃病来进行论证分析,体现"养正积自除"思想在脾胃病治疗中的具体应用,并附医案一则,以期为脾胃病的中医治疗提供临床借鉴.

Director CHEN Wei believes that the fundamental cause of spleen and stomach disorders is deficiency of the spleen and stomach.The treatment should thus focus on restoring the normal Qi of the spleen and stomach.Once the spleen and stomach are nourished,the accumulation of pathogenic factors will naturally be eliminated.This article explores Director CHEN Wei's clinical experience in treating spleen and stomach disorders by nourishing healthy Qi to eliminate pathogenic factors.By analyzing the theoretical origin of nourishing healthy Qi to eliminate pathogenic factors and its application in treating spleen and stomach disorders,this article summarizes Director CHEN Wei's diagnostic and therapeutic thinking and the principles of selecting characteristic prescriptions and medications.Common spleen and stomach disorders such as chronic atrophic gastritis,functional constipation,and gastrointestinal tumors in clinical practice are selected for demonstration and analysis to illustrate the specific application of this theory in the treatment of spleen and stomach disorders,and a medical case is employed to validate the experience.This study aims to provide clinical reference for the traditional Chinese medicine treatment of spleen and stomach disorders.

赵娜娜;陈伟

浙江中医药大学金华研究生联合培养基地(浙江 金华 321000)浙江中医药大学附属四省边际中医院/衢州市中医医院(浙江 衢州 324000)

养正积自除病症结合脾胃病名医经验

nourishing healthy Qi to eliminate pathogenic factorssyndrome-disease combinationspleen and stomach disordersfamous physician experience

《基层中医药》 2026 (7)

23-28,6

浙江省名老中医专家传承工作室建设项目陈伟名老中医专家传承工作室(GZS2021040)

10.20065/j.cnki.btcm.20260156

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