Exploration on the Clinical Approach to Chronic Atrophic Gastritis Based on Li Gao's Theory of Zangqi Fashi
10.13359/j.cnki.gzxbtcm.2025.06.032
- VernacularTitle:基于李杲之"脏气法时"理论探讨慢性萎缩性胃炎的临证思路
- Author:
Xinqi HU
1
;
Yubin HAN
;
Jinfeng CHEN
Author Information
1. 广州中医药大学第八临床医学院,广东 佛山 528000
- Keywords:
chronic atrophic gastritis(CAG);
Zangqi Fashi;
spleen-stomach deficiency;
internal generation of yin-fire;
tonifying the spleen and stomach;
subsiding yin-fire;
Li Gao
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2025;42(6):1515-1520
- CountryChina
- Language:Chinese
-
Abstract:
Chronic atrophic gastritis(CAG)is a common clinical digestive system disease and is responding specially to traditional Chinese medicine(TCM).Following Li Gao's elaborated theory of Zangqi Fashi(visceral qi being corresponding to the four seasons and five elements),this article proposed that the differentiation and treatment for CAG should be focused on middle jiao(spleen and stomach).Based on the connection between the qi movement of spleen-stomach and the yin-yang changes of the four seasons in nature,the etiology,pathogenesis,and treatment of CAG were analyzed.It is proposed that spleen-stomach deficiency is the root cause of CAG,and the internal generation of yin-fire is an important pathological state of CAG.The primary treatment principle for CAG is to tonify the spleen and stomach,and to subside yin fire.In clinical treatment of CAG,the formulation of the prescriptions for tonifying or purging should be based on the properties and flavors of herbal medicines,and then the ascending and descending of qi movement in the human body are normalized,and the exiting and entering of qi movement are in order.In addition to medicinal treatment,dietary regulation is also emphasized for the prevention and treatment of CAG.
