林平教授治疗慢性萎缩性胃炎验案举隅

潘玮 林平

【摘 要】 慢性萎缩性胃炎是消化系统的常见多发病，属“胃脘痛”“胃痞”范畴。其病起病隐匿，缠绵难愈、治疗棘手。中医药治疗具有其独特的优势，文章总结林平教授遵之“病证结合”的诊疗模式辨治慢性萎缩性胃炎。治疗上注重治养结合，分以三期辨治，早期辨治以证症为主，中期辨治以病为主，后期调理为主。治疗全程以养为重，恢复脾胃脏腑功能，疗效显著。

【关键词】 慢性萎缩性胃炎;三期辨治;治养结合

【中图分类号】R249.2/.7   【文献标志码】 A    【文章编号】1007-8517（2021）10-0097-03

Professor Lin Pings Clinical Experience in Treating Chronic Atrophic Gastritis

PAN Wei1 LIN Ping2△

1.The Second Affiliated Hospital of Fujian Traditional Chinese Medical University，Fuzhou 350003，China;

2.Fujian University Of Traditional Chinese Medicine，Fuzhou 350122，China

Abstract：Chronic atrophic gastritis is a common and frequently-occurring disease of the digestive system.This disease belongs to the category of “stomachache” and “stomach Bloating”.The onset is hidden， lingering and difficult to heal， and treatment is difficult.The treatment of traditional Chinese medicine has its unique advantages.The article concludes that Professor Lin Ping follows the diagnosis and treatment model of “combination of disease and syndrome” to treat chronic atrophic gastritis.The treatment focuses on the combination of treatment and aftercare，which is divided into three phases of differentiation and treatment.The early syndrome differentiation and treatment are mainly based on pathogenesis and syndromes，the mid-stage are mainly based on diseases and the later-stage conditioning is mainly.The whole course of treatment focuses on aftercare to restores the functions of the spleen， stomach and organs. The effect is remarkable.

Keywords：Chronic Atrophic Gastritis;The Three-stage Treatment;The Combination Of Treatment And Aftercare

慢性萎縮性胃炎（Chronic atrophic gastritis，CAG）是指以胃黏膜萎缩变薄、固有腺体减少或消失为主要特征，并常伴有肠上皮化生等病理改变的疾病。随着生活方式的改变、医疗技术水平的提升，其发病率及检出率呈逐年上升趋势。西医目前尚未有统一的治疗方案，皆以对症治疗为主，易出现病情反复不愈的情况[1]。而中医在CAG的防治上具有明显优势。

林平教授从事脾胃病临床、研究、教学多年，治学严谨，擅长中西医结合治疗各种消化系统疾病，尤其对慢性萎缩性胃炎有其独特见解，疗效显著。林平教授在辨治CAG时提倡通过“病证结合”的诊疗模式，将西医的病与中医的证相结合，总结其CAG病机为“脾虚气滞”，常兼夹阳虚、血瘀、痰浊、湿热，治以健脾理气为主，并配合活血化瘀、清热解毒、化湿祛痰之法，予自拟方“调脏运气汤”加减治疗，注重治养结合，分三期论治，疗效颇佳。现整理其经验与验案1则，以飨读者。

1 病证结合，立方组方

林平教授在临……