王垂杰结合内镜辨证治疗慢性萎缩性胃炎

王垂杰教授认为慢性萎缩性胃炎病程缠绵，非单一因素短时间作用，乃本虚标实，虚实夹杂之证，脾胃之气虚为本，气滞、血瘀、热毒等为标。提出以调气活血为主，因人制宜为治疗大法，不忘顾护胃气与日常调摄护理。胃肠和病理活检乃望诊延伸，可确保辨证全面、准确，提高临床疗效及预后判断准确度。以脾虚血瘀、虚实夹杂为多见，王师以自拟胃炎康方为基础，黄芪、党参、白术以健脾益气；柴胡、郁金、苦参、黄连以理气清热；丹参、三棱、莪术以活血化瘀；同时根据胃黏膜形态酌情加减。结合内镜辨证论治，既是传统中医的继承，更是祖国医学在现代医学基础上的发展。

Experience of Treatment of Chronic Atrophic Gastritis Based on Syndrome Differentiation Combined with Endoscopy by WANG Chuijie

Professor WANG Chuijie think of chronic atrophic gastritis course of lingering, short time and not a single factor, but the deficiency in origin and excess in superficiality, inclusion of card, spleen and stomach qi deficiency, blood stasis, qi stagnation for this, heat toxin as standard. The regulating qi and activating blood, the person for the treatment of law, not to forget the protecting stomach qi and promoting nursing daily. Gastrointestinal and pathological biopsy diagnosis is extended, can ensure the dialectical comprehensive, accurate, improve clinical efficacy and prognosis judgment accuracy. With spleen deficiency and blood stasis, deficiency and excess is more common, King division on the basis of Weiyan Kang Fang Astragalus, Codonopsis, Atractylodes, bupleurum, Radix Curcumae by strengthening the spleen and replenishing qi; , Sophora flavescens, Rhizoma Coptidis to Qi and clearing heat ; Radix Salviae Miltiorrhizae, Rhizoma sparganii,Rhizoma Curcumae by activating blood and resolving blood stasis; at the same time according to the morphology of gastric mucosa and discretion. Treatment with endoscopic diagnosis, as inheritance of traditional Chinese medicine, but also the development of Chinese medicine in modern medicine.