Exploration on Phased Differentiation and Treatment of Chronic Atrophic Gastritis Based on the"Hyperactive Stomach Qi"Theory
10.19879/j.cnki.1005-5304.202504500
- VernacularTitle:基于"胃气重强"理论探讨慢性萎缩性胃炎的分期辨治
- Author:
Yizi AO
1
;
Shuying HU
;
Tingyu ZHANG
;
Xin SUN
;
Xiaoke LI
Author Information
1. 北京中医药大学东直门医院,北京 100700
- Publication Type:Journal Article
- Keywords:
chronic atrophic gastritis;
hyperactive stomach qi;
strong yang qi in earth;
weak yin qi in earth;
phased differentiation and treatment
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2025;32(10):164-168
- CountryChina
- Language:Chinese
-
Abstract:
Chronic atrophic gastritis(CAG)is a chronic gastric disorder characterized by recurrent damage to the gastric mucosal epithelium,resulting in the reduction of intrinsic glands,with or without concurrent intestinal metaplasia.The"hyperactive stomach qi"theory,derived from Huang Di Nei Jing Su Wen Ji Zhu,proposes that the core pathogenesis of CAG lies in excessive stomach qi activity,grounded in the physiological principle of"strong yang qi in earth and weak yin qi in earth".This theory synthesizes the clinical manifestations and pathological progression of CAG,asserting that its development often involves intertwined pathological factors such as stagnation,dryness-heat,phlegm-dampness and stasis-toxicity.A triphasic therapeutic framework is proposed:the spleen qi deficiency phase,marked by impaired spleen transport function and dysregulated qi-fluid distribution,requiring spleen fortification and qi-fluid regulation;the hyperactive stomach qi phase,characterized by intensified stomach qi activity coupled with dryness-damp stagnation,necessitating stagnation resolution,dampness elimination and yin nourishment;the decline and disorder of middle qi phase,characterized by the deficiency of the middle qi,with phlegm,blood stasis and toxins forming the terminal stage.Treatment should focus on reinforcing the middle and restoring balance,detoxifying and dissipating accumulation.By exploring CAG pathogenesis and treatment through the lens of"hyperactive stomach qi",this study aimed to provide novel theoretical insights and therapeutic strategies for TCM in the prevention and treatment of CAG.
