摘要
胃息肉是指胃黏膜在某些因素刺激下产生的一种向胃腔突出的病变。中医学无此病名,可将其归属于“肠蕈”“积聚”等范畴。“阳化气,阴成形”指的是人体生命活动的两种基本形式,阳气主司津血精液的温化与运行,阴气主司津血精液的化形及人体形质的形成,当二者处于相对平衡时,则形成生命稳态,即“阴平阳秘,精神乃治”,中医将阴阳失调作为疾病基本病机之一。基于“阳化气,阴成形”认识胃息肉的形成,阳化气不足为发病基础,阴成形太过为发病之标,阳化气不足具体表现为:脾肾阳虚,气化无力;肺脾气虚,气化乏源;脏腑气衰,升降失调。基于“阳化气,阴成形”治疗胃息肉的防治思路,主要包括:温扶肾阳以化气、温护脾阳以化湿、补脾肺以资气化、温敛肝阳以理气和化痰瘀以消阴翳。
Gastric polyps refer to protruding lesions on the gastric mucosa caused by various factors.This condition lacks a specific term in traditional Chinese medicine,but can be classified as"chang xun"(intestinal polps)and"ji ju"(abdominal mass).The principle of"yang transforms into qi,while yin constitutes form"reflects the fundamental aspects of human life processes.Yang qi is responsible for warming and circulating of the fluids,blood and essence,while yin qi governs their transformation into form and the formation of bodily tissues.When these two forces are in a relative balance,a state of homeostasis is achieved,known as"only when yin is calm and yang is sound can essence-spirit be normal".Imbalances between these forces lead to health issues.Gastric polyps are understood in this context,with the inability of yang to transform qi as the root of the disease,and excessive creation of form by yin as the branch.Specific manifestations of the weakness of yang qi include yang deficiency of the spleen and kidney,resulting in insufficient transformation of qi,qi deficiency of the lung and spleen,affecting the generation of qi,and overall qi failure in the organs,which leads to disorder of the ascending and descending of qi.The guiding philosophy for gastric polyps should thus be warming and supporting kidney yang to transform qi,warming and protecting spleen yang to resolve dampness,warming and astringing liver yang to regulate qi,and dissolving phlegm and blood stasis to eliminate the yin nebula.
作者
丁鑫
王琳
刘冬梅
袁方
李玲玲
DING Xin;WANG Lin;LIU Dongmei;YUAN Fang;LI Lingling(Jinan Innovation East District Hospital(Shandong Healthcare Group Jinan Hospital),Jinan 250101;Affiliated Hospital of Shandong University of Traditional Chinese Medicine;Shandong University of Traditional Chinese Medicine)
出处
《现代中医临床》
2023年第6期54-57,共4页
Modern Chinese Clinical Medicine
基金
山东省自然科学基金(No.ZR2017LH064,No.ZR2020MH355)。
关键词
阳化气
阴成形
胃息肉
中医病机
防治思路
yang transforms into qi,while yin constitutes form
gastric polyp
TCM pathogenesis
prevention and treatment ideas
作者简介
丁鑫,男,硕士,住院医师;通信作者:李玲玲,女,硕士,主治医师,E-mail:lilingling0029@sina.com。
