慢性萎缩性胃炎合并胆囊疾病辨证论治
Journal of Changchun University of Traditional Chinese Medicine（2021）
Abstract
慢性萎缩性胃炎患者部分合并有胆囊疾病,形成胆胃同病状态,胆病又可成为胃病的致病因素,对于促进胃黏膜病变迁延进展具有重要作用.谢晶日教授主张通过胃镜及病理表现进行微观辨证,慢性萎缩性胃炎虚实夹杂,胃失所养为本虚,痰浊、瘀血、热毒为标实,肝失疏泄为中介,共同导致胆失通降,脾胃不和的病机.治疗以疏肝行气为枢机,重在利胆通腑、和胃降逆,随证施用清热化痰通络、活血化瘀解毒之法,临床收效显著.
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