赵绍华治疗慢性萎缩性胃炎经验

赵绍华老师治疗慢性萎缩性胃炎,喜用药性平和之品,避免大甘大苦,大甘生湿,大苦伤脾,处方用药忌过量,否则重伤脾胃,加重本就虚弱的脾胃,治疗本病时,须时时处处顾护胃气。慢性萎缩性胃炎初病在气,久病则入络伤血,故治疗中注意行气活血,化瘀通络之法贯穿始终。血瘀又有气虚与气滞之分,气虚而血瘀者,常用健脾益气之补中益气汤升降气机,但补药多味甘,有生满壅滞之疑,故当清补,赵师临床喜用太子参、党参等,佐以丹参、降香等兼调气血。因气滞而血瘀者,往往在行气药中酌加活血化瘀之品。但活血药物不宜过服、久服,临证时要中病即止,否则伤正气。另外,由于本病诱发因素有情绪波动、劳逸不当、寒温失宜等,故在治疗调养过程中,赵师常叮嘱患者注意舒畅情志、劳逸结合、四时寒温适宜等。

Zhao Shao-hua's Experience of Treating Chronic Atrophic Gastritis

In terms of treating chronic atrophic gastritis,Professor Zhao Shao-hua prefers medicines with mild nature to the ones with extremely sweet and bitter nature,because extremely sweet can lead to dampness,while extremely bitter can damage the spleen.He never uses any formula with overdose in order to avoid to seriously damage the originally week spleen and stomach.He always pays attention to protecting stomach qi.At early stage,the cause of chronic atrophic gastritis lies in qi,long-time disease may enter the meridians and damage blood,so the treatment should focus on promoting qi and activating blood circulation,and removing stasis and dredging collaterals is throughout the treatment.Blood stasis is divided into qi deficiency and qi stagnation.For blood stasis due to qi deficiency,Center-Supplementing and Qi-Boosting Decoction can be used to ascend and descend qi activity,but the tonics are often sweet,and may lead to stagnation,so moistening tonification should be used.In clinical practice,Professor Zhao often uses Taizishen (Radix Pseudostellariae) and Dangshen (Radix Codonopsis) combined with Danshen (Radix et Rhizoma Salviae Mihiorrhizae)and Jiangxiang (Lignum Dalbergiae Odoriferae)to regulate qi and blood.For blood stasis due to qi stagnation,medicines for promoting qi circulation are often added the ones for activating blood circulation to remove stasis which should not be used too much and too long and should be stopped timely when they have effects on disease,otherwise,they may hurt healthy qi.In addition,because the predisposing factors of chronic atrophic gastritis have mood swings,inappropriate work and rest,improper temperature,in the treatment process,Professor Zhao often tells the patients to pay attention to work and rest,keeping happy emotions,proper temperatures etc.