Thoughts of syndrome differentiation and treatment of precancerous lesions of chronic atrophic gastritis based on the theory on hidden pathogen
10.3760/cma.j.cn115398-20220426-00402
- VernacularTitle:从“伏邪”论治胃癌前病变
- Author:
Zhongyu LI
1
;
Yandong WEN
;
Ting CHEN
;
Yang WANG
;
Qing XU
Author Information
1. 中国中医科学院西苑医院脾胃病科，北京 100091
- Keywords:
Gastritis, atrophic;
Precancerous lesions of gastric cancer;
Incubative pathogenic factors;
Theoretical discussion
- From:
International Journal of Traditional Chinese Medicine
2023;45(8):935-938
- CountryChina
- Language:Chinese
-
Abstract:
Precancerous lesions of gastric cancer (PLGC) is a pathological change accompanied by intestinal metaplasia and dysplasia on the basis of chronic atrophic gastritis. It is also an important stage of "inflammation-cancer transformation" on gastric mucosa. Paying attention to the intervention of PLGC has important value and significance for the secondary prevention of gastric cancer. PLGC has the characteristics of occult onset, toxin damaging collaterals, and long course of disease, which is highly consistent to the pathogenesis characteristics of incubative pathogenic factors. Based on the relevance of incubative pathogenic factors and PLGC, treatment of PLGC from the perspective of incubative pathogenic factors should be mainly strengthening the spleen and stomach, and combined with the methods of regulating qi and dissipating dampness, and removing blood stasis and detoxification. It should also pay attention to the prognosis.Paying attention to the body-mind treatment can reduce the re-occurrence , so as to provide a new way of thinking for treating PLGC from incubative pathogenic factors.
