Exploration on the Congenital Circuit-Qi Endowment Features and Treatment Strategies for Patients with Chronic Atrophic Gastritis Based on the Five-Circuit and Six-Qi Theory
10.13359/j.cnki.gzxbtcm.2025.03.005
- VernacularTitle:基于五运六气探讨慢性萎缩性胃炎患者先天运气禀赋特点及治疗策略
- Author:
Zhiming LAI
1
;
Haiya OU
;
Tingping WU
;
Honghui CHENG
;
Sizhong XING
Author Information
1. 广州中医药大学第七临床医学院,广东深圳 518133
- Keywords:
chronic atrophic gastritis;
five-circuits and six-qi;
endowment features;
date of birth;
liver depression and qistagnation;
treatment strategies;
treating from the perspective of the liver;
soothing liver and harmonizing stomach;
nourishing yin to moisten dr
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(3):560-566
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the distribution of circuit-qi indicators at birth in the patients with chronic atrophic gastritis(CAG)based on five-circuit and six-qitheory,and to summarize their congenital circuit-qi endowment features,so as to explore treatment strategies for CAG accordingly.Methods From January 2018 to December 2023,a total of 2 046 cases of patients with CAG admitted to Shenzhen Bao'an Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine(i.e.,Shenzhen Bao'an Traditional Chinese Medicine Hospital)were selected,and the distribution of the five-circuit and six-qiindicators at birth in the patients was analyzed by using the SPSS 24.0 statistical software.The features of the congenital circuit-qi endowment were summarized,and then the corresponding treatment strategies were put forward.Results The CAG patients had the highest proportions of circuit-qiendowment features at birth,showing as the yearly circuit being deficiency fire circuit,the dominant circuit being metal circuit,the dominant qibeing yangmingdryness-gold,the guest qibeing taiyangcold-water,and sitianbeing shaoyangminister fire and zaiquanbeing j ueyinwind-wood,and the differences in the distribution of the dominant circuit,dominant qi,and guest qiwere statistically significant(P<0.05 or P<0.01),but differences in the distribution of the yearly circuit and sitian/zaiquanwere not statistically significant(P>0.05).The analysis of the combined circuit-qifeatures at birth showed that the proportion of patients with CAG born in the year of celestial restriction,mildly-rebellious year and disharmony year was the highest,and the proportion of those born in the convergent year and iso-convergent year was the lowest,with statistically significant differences(P<0.05).Conclusion The congenital circuit-qiendowment of patients with CAG is characterized by liver depression and qistagnation,dryness and coldness.Therefore,the treatment for CAG should be from the perspective of the liver,with the method of soothing liver and harmonizing stomach,supplemented by nourishing yin to moisten dryness,and protecting yang qiof the spleen and stomach.The combined use of acup-moxibustion and Chinese medicines is recommended.