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从"虚-滞-毒"论治胃癌前病变的研究进展OA

Research Progress on the Treatment of Precancerous lesions of Gastric Cancer from the Perspective of"Deficiency-Stagnation-Toxicity"

中文摘要英文摘要

胃癌前病变(precancerous lesions of gastric cancer,PLGC)是正常胃黏膜向胃癌演进的关键阶段,有效干预PLGC是降低胃癌发病率和病死率的重要措施.现代医学以根除幽门螺杆菌、补充微量元素、内镜下治疗等为主,但存在疗效不确切、范围局限、途径单一等不足.中医学基于"治未病"思想,在干预PLGC方面展现出独特优势.文章归纳阐释PLGC发生发展病机、指导临床辨治的"虚-滞-毒"病机理论框架,系统梳理"虚-滞-毒"理论的内涵,总结其传统及现代生物学基础,以及基于该理论的临床研究、实验研究及中药复方干预的最新进展,以期为PLGC的中西医结合防治提供理论依据和实践参考.

Precancerous lesions of the stomach(PLGC)represent a crucial stage in the progression of normal gastric mucosa to gastric cancer.Effective intervention in PLGC is an important measure to reduce the incidence and mortality of gastric cancer(GC).Modern medicine mainly focuses on eradicating HP,supplementing trace elements,and endoscopic treatment,but it has some shortcomings such as uncertain therapeutic effects,limited scope,and single approaches.Based on the idea of"preventing disease before it occurs",traditional Chinese medicine has demonstrated unique advantages in the intervention of PLGC.This article summarizes the theoretical framework of"deficiency-stagnation-toxicity"for ex-plaining the pathogenesis of PLGC occurrence and development and guiding clinical diagnosis and treatment,systematical-ly sorts out the connotation of the"deficiency-stagnation-toxicity"theory,and summarizes its traditional and modern biological basis.Based on this theory,the latest progress in clinical research,experimental research and the intervention of traditional Chinese medicine compound prescriptions is presented,with the aim of providing theoretical basis and practical reference for the integrated prevention and treatment of PLGC with traditional Chinese and western medicine.

余海艳;刘玉华;杨文文;刘鹏鹏;高毅

中山大学附属肿瘤医院/甘肃医院,甘肃 兰州 730050中山大学附属肿瘤医院/甘肃医院,甘肃 兰州 730050甘肃中医药大学,甘肃 兰州 730030甘肃中医药大学,甘肃 兰州 730030甘肃省中医院,甘肃 兰州 730050

医药卫生

胃癌前病变虚-滞-毒病机中医药治疗研究进展

precancerous lesions of gastric cancerdeficiency-stagnation-toxicitypathogenesistraditional chinese medicine treatmentresearch progress

《实用中医内科杂志》 2026 (8)

26-30,5

国家中医药管理局项目(国中医药人教函[2023]85号)第五批全国中医临床优秀人才研修项目(国中医药人教函[2021]1号)甘肃省中医药人才培养重点学科建设项目(甘财社[2022]48号)

10.13729/j.issn.1671-7813.Z25110309

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