张声生从毒瘀互结论治胃癌前病变
Global Traditional Chinese Medicine(2022)
Abstract
胃癌前病变是慢性萎缩性胃炎向胃癌进展的关键病理环节,防治和延缓本病进展对降低胃癌的发生率和病死率具有重要意义.张声生教授将本病的核心病机总结为毒瘀为标、虚滞为本,认为脾胃虚弱是本病的发病之源,"毒""瘀"在胃黏膜病变发生发展过程中具有重要作用,提出毒瘀互结是胃癌前病变的关键病理节点,也是本病逐渐向胃癌演变的重要病理环节.因此,治疗中在通补法的基础上,尤其重视祛毒化瘀,根据患者的不同临床表现施以清热解毒、祛湿化毒、化痰散毒等法,并强调将化瘀法贯穿疾病始终,必要时配合有毒之品或血肉有情之品加大祛毒化瘀力量,以达缓解临床症状、延缓疾病进展之功,每每应手取效.本文介绍了张声生教授从毒瘀互结治疗胃癌前病变经验.
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