中医药治疗慢性浅表性胃炎辨证用药规律剖析.docVIP

中医药治疗慢性浅表性胃炎辨证用药规律剖析 　　[摘要] 目的 探讨慢性浅表性胃炎的临床主要证候分布规律、辨证用药规律。 方法 对2002～2012年符合入选标准的文献中的证型、证素和用药的研究进行分析、总结。 结果 慢性浅表性胃炎临床常见的证候类型主要是肝胃气滞、胃阴不足、脾胃虚寒、脾胃气虚、脾胃湿热，其中肝胃气滞出现频率最高，约占21.58%；辨证的主要证素，在病位因素中以胃为主，其次为脾、肝；病性因素中以阴虚、阳虚、热、寒为主；病因证素中以气滞、湿、瘀血为主。 结论 慢性浅表性胃炎病机特点以胃气郁滞、胃失和降为主，阴虚、阳虚也为常见。 　　[关键词] 慢性浅表性胃炎；辨证施治；中医药疗法；用药规律 　　[中图分类号] R256.3 [文献标识码] A [文章编号] 1673-7210（2016）03（a）-0084-03 　　Analysis on medicine laws of traditional Chinese medicine in the treatment of chronic superficial gastritis 　　MENG Hongyan1 MA Hongbo1 ZHANG Guangbo2 ZHANG Xiaoyi1 PENG Min1 CHEN Lihui1 　　1.Department of Traditional Chinese Medicine， Shandong Provincial Hospital Affiliated to Shandong University， Shandong Province， Jinan 250021， China； 2.Shandong Academy of Occupational Health and Occupational Medicine， Shandong Province， Jinan 250002， China 　　[Abstract] Objective To discuss the laws of the main clinical syndrome distribution and laws of treatment based on syndrome differentiation about chronic superficial gastritis. Methods The literatures from 2002 to 2012 accorded with the inclusion criteria were analyzed and summarized in terms of syndrome types， syndrome factors and medications. Results The most common clinical syndromes of chronic superficial gastritis were liver and stomach qi stagnation， stomach yin deficiency， spleen and stomach deficiency cold， spleen and stomach qi deficiency， spleen and stomach hot and humid， among which liver and stomach qi stagnation accounted for the highest frequency， about 21.58%. Differentiation of syndrome elements， in diseases location factors were given priority to the stomach， followed by the spleen and liver； in diseases quality factors to yin deficiency， yang deficiency， heat， cold； in pathogeny to qi stagnation， wet and blood stasis. Conclusion Stomach qi stagnation and the stomach disagree declare war falls are the main pathogenesis characteristics of chronic superficial gastritis， yin deficiency and yang deficiency are also common. 　　[Key words] Chron