从络病论治慢性缩性胃炎癌前病变的理论探讨与临床研究.pdfVIP

The Theoretical and Clinical Research of Precancerous Lesions of Chronic Atrophic Gastritis based on Collaterals Theory Speciality：Digestive system disease ．Internal medicine of TCM Author ：Lü Linmao ， Tutor：Professor Cao Zhiqun Abstract Objective: To bring forward the stomach-collateral doctrine ,to study the significance of collaterals theory on treating precancerous lesions of chronic atrophic gastritis and the curative effects of Anluo-Fuwei Decoction in treating the disease.Method: Theoretical study: based on the researches of past dynasties and the present researches on collaterals theory , to bring forward stomach-collateral doctrine ,to illustrate the TCM pathogenesis of precancerous lesions of chronic atrophic gastritis on the base of concept and connotation of stomach-collateral, stomach-qi-collateral and stomach-blood-collateral .Clinical study:79 cases with precancerosis of chronic atrophic gastritis were divided into two groups randomly,55 cases in the treatment group of Anluo-Fuwei Decoction and 24 cases in the control group of Weifuchun Troche．In the trial ,the clinical symptoms 、pathological morphologies and gastroscope images 、H．pylori infection rate were observed.Result: Liver-Kidney deficiency is the cause of precancerosis of chronic atrophic gastritis, deficiency and stagnancy of stomach-collateral-qi is the outset of CAG and PLGC, the stage of phlegm 、blood 、toxin in stomach-collaterals is the pathological essence of precancerosis of chronic atrophic gastritis. The clinical effective rate of treatment groups was 89.09 ％ ,and the pathological effective rate of CAG 、IM 、ATP were 81.82% 、78.95% and 64.71% ，H．pylori eradication was 67.57%.Compared with those of control group ， clinical symptom integrals ，gastroscope