从“胃络-玄府”探讨慢性萎缩性胃炎的病机及风药开玄之运用

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关键词：慢性萎缩性胃炎；玄府郁闭；胃络瘀阻；风药；解表；理气；升阳；通络；散结中图分类号：R259.733 文献标志码：A 文章编号：1007-3213（2025）02-0493-06DOI：10.13359/j.cnki.gzxbtcm.2025.02.034

Discussion on the Pathogenesis of Chronic Atrophic Gastritis and the Application of Wind Medicines in Opening Sweat Pores from the View ofStomach Collaterals and Sweat Pores

ZOU Yanmei'，YANG Chenhua'，LI Danyan²

（1.Bao'an Authentic Traditional Chinese Medicine Therapy Hospital，Shenzhen 518Ooo Guangdong，China; ：Beijing HospitalofTraditional ChineseMedicineAfiliatedtoCapitalMedical University，Beijing1Oo069，Chin：

Abstract：Chronic atrophic gastritis（（CAG）is a precancerous lesion of gastriccancer，and its pathogenesis is complicated，with recurrent and prolonged symptoms.Starting from the view of stomach collterals and sweat pores，the paper analyzed the pathogenesis of CAG，i.e.， stagnation and obstruction of sweat pores，and blood stasis obstructing stomach collterals.Furthermore，this paper explored the eficacy of wind medicines in treating CAG byopening sweat pores and unblocking stomach colaterals.It is believed that wind medicines are pungent with warm nature，and have the actions of relieving exterior syndrome，regulating qi ，elevating yang，unblocking collaterals and disipating masses，which enable their efcacyon opening sweat pores and unblocking stomach collaterals.In the treatment of CAG，wind medicines are able to open the sweat pores，and the opening of sweat pores promotes the recovery of spleen-stomach function in lifting lucid yang and lowering turbid yin； wind medicines have theactions of directing herbs to theaffcted meridianor site，and assisting theother Chinese medicines to achieve satisfactory eficacies；wind medicines can also be used fordrying dampness，and enhance theefficacy of removing dampnesswith the help of their actions of opening sweat pores.During the treatment of CAG，the combination of wind medicines can enhance the therapeutic efect of Chinese herbal medicine，and the exploration in this paper will provide reference for traditional Chinese medicine treatment of CAG in clinic.

Keywords：chronic atrophic gastritis；stagnation and obstruction of sweat pores；blood stasis obstructingstomach collaterals； wind medicines；relieving exterior syndrome； regulating qi ； elevating yang； unblockingcollaterals； dissipating masses

慢性萎缩性胃炎（chronic atrophic gastritis，CAG）是一种以胃黏膜的固有腺体萎缩而导致的黏膜变薄或消失，黏膜基层增厚，并常伴有炎症及肠上皮化生（IM）和不典型增生（Dys）为特征的疾病。（剩余9187字）