赵文霞诊治幽门螺杆菌相关性胃炎经验
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摘要
赵文霞教授认为幽门螺杆菌相关性胃炎属于中医痞满、胃脘痛、反酸、呕吐、嘈杂等多种病证范畴,且多见于中医痞满病,证型上以肝气犯胃兼湿热证较为多见。赵教授辨证擅用舌脉,尤重舌诊,典型的舌象表现多为程度不同的腻苔,尤以黄厚腻苔居多;舌质上多表现为程度不同的红舌,典型舌象为红中偏绛,上有芒刺。治疗上常以加味柴胡四逆汤为基础方加减。
Professor Zhao Wenxia believes that Helicobacter pylori-associated gastritis can be seen in various symptoms such as stomach distention and fullness,epigastric pain,acid reflux,vomiting,and noisy stomach,in which stomach distention and fullness is often seen. In frequently seen syndromes of the disease are Liver Qi injuring Stomach and Dampness Combined with Heat. The tongue pictures and veins are used for diagnosis,especially the former. The typical tongue pictures are mostly greasy mosses with different degrees,especially yellow thick and greasy moss. The tongue colors are mostly red tongues with different degrees. The typical tongue images are deep red with burrs on it. The treatment prescription used is modified Chaihu Sini Decoction.
Professor Zhao Wenxia believes that Helicobacter pylori-associated gastritis can be seen in various symptoms such as stomach distention and fullness,epigastric pain,acid reflux,vomiting,and noisy stomach,in which stomach distention and fullness is often seen. In frequently seen syndromes of the disease are Liver Qi injuring Stomach and Dampness Combined with Heat. The tongue pictures and veins are used for diagnosis,especially the former. The typical tongue pictures are mostly greasy mosses with different degrees,especially yellow thick and greasy moss. The tongue colors are mostly red tongues with different degrees. The typical tongue images are deep red with burrs on it. The treatment prescription used is modified Chaihu Sini Decoction.
引文
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[11]陈海燕.赵文霞教授治疗脾胃病应用钩藤经验[J].中医临床研究,2015,26(2):111.
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[13]江汉荣,冯俊志,韩艳华.乌贝散联合奥美拉唑治疗消化性溃疡80例临床观察[J].实用中医内科杂志,2014,28(9):18-20.
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[15]陈晓,万芝清,韩根成,等.六君子汤合左金丸治疗小鼠急性放射性十二指肠炎的疗效及机制研究[J].中国中药杂志,2014,39(2):278-284.
[16]孔维军,赵艳玲,山丽梅,等.左金丸的研究进展[J].中国实验方剂学杂志,2008,14(5):73-77.
[2]郜海燕.幽门螺旋杆菌感染与慢性胃炎的关系[J].中国卫生产业,2014,11(12):156-157.
[3]蔡奇志,蒋承霖.幽门螺杆菌家庭聚集现象与家庭成员共治的关系研究[J].临床荟萃,2013,27(12):1358-1360,1364.
[4]吴靖.幽门螺杆菌毒素分型与胃肠疾病的关系及对根除率的影响[D].石家庄:河北医科大学,2011.
[5]张声生,李乾构,汪红兵.消化不良中医诊疗共识意见(2009)[J].中国中西医结合杂志,2010,31(5):533-537.
[6]蔡妍阳.幽门螺旋杆菌的中医研究进展[D].北京:北京中医药大学,2012.
[7]张国梁,李艳,李永攀,等.徐经世“调节内环法”治疗HP相关性胃炎思路初探[J].中医药临床杂志,2012,24(10):925-927.
[8]蔡峰海.中医舌诊与慢性胃病辨证分型的临床分析[J].中外医疗,2009,33(1):94.
[9]董洪娟.幽门螺旋杆菌感染与中医舌象、证型相关性临床研究[D].成都:成都中医药大学,2010.
[10]陈海燕.赵文霞教授运用加味柴胡四逆汤经验[J].中医研究,2014,24(11):40-41.
[11]陈海燕.赵文霞教授治疗脾胃病应用钩藤经验[J].中医临床研究,2015,26(2):111.
[12]钟梁,呼永河,李静,等.试论湿入胃络[J].西南国防医药,2012,22(6):684-685.
[13]江汉荣,冯俊志,韩艳华.乌贝散联合奥美拉唑治疗消化性溃疡80例临床观察[J].实用中医内科杂志,2014,28(9):18-20.
[14]赵雪莹,滕林,李冀.金铃子散镇痛作用的实验研究[J].中医药学报,2012,40(1):61-62.
[15]陈晓,万芝清,韩根成,等.六君子汤合左金丸治疗小鼠急性放射性十二指肠炎的疗效及机制研究[J].中国中药杂志,2014,39(2):278-284.
[16]孔维军,赵艳玲,山丽梅,等.左金丸的研究进展[J].中国实验方剂学杂志,2008,14(5):73-77.