1.济南高新东区医院(山东健康集团济南医院) 济南 250101
2.山东中医药大学附属医院
3.山东中医药大学
丁鑫,男,硕士,住院医师
#李玲玲,女,硕士,主治医师,E-mail:lilingling0029@sina.com
纸质出版日期:2023-11-30,
收稿日期:2023-01-31,
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丁鑫, 王琳, 刘冬梅, 等. 基于“阳化气,阴成形”探讨胃息肉的中医病机及防治思路[J]. 现代中医临床, 2023,30(6):54-57.
DING Xin, WANG Lin, LIU Dongmei, et al. Exploring the TCM mechanism and prevention of gastric polyps based on the principle of "yang transforms into qi, while yin constitutes form"[J]. Modern Chinese Clinical Medicine, 2023,30(6):54-57.
丁鑫, 王琳, 刘冬梅, 等. 基于“阳化气,阴成形”探讨胃息肉的中医病机及防治思路[J]. 现代中医临床, 2023,30(6):54-57. DOI: 10.3969/j.issn.2095-6606.2023.06.012.
DING Xin, WANG Lin, LIU Dongmei, et al. Exploring the TCM mechanism and prevention of gastric polyps based on the principle of "yang transforms into qi, while yin constitutes form"[J]. Modern Chinese Clinical Medicine, 2023,30(6):54-57. DOI: 10.3969/j.issn.2095-6606.2023.06.012.
胃息肉是指胃黏膜在某些因素刺激下产生的一种向胃腔突出的病变。中医学无此病名,可将其归属于“肠蕈”“积聚”等范畴。“阳化气,阴成形”指的是人体生命活动的两种基本形式,阳气主司津血精液的温化与运行,阴气主司津血精液的化形及人体形质的形成,当二者处于相对平衡时,则形成生命稳态,即“阴平阳秘,精神乃治”,中医将阴阳失调作为疾病基本病机之一。基于“阳化气,阴成形”认识胃息肉的形成,阳化气不足为发病基础,阴成形太过为发病之标,阳化气不足具体表现为:脾肾阳虚,气化无力;肺脾气虚,气化乏源;脏腑气衰,升降失调。基于“阳化气,阴成形”治疗胃息肉的防治思路,主要包括:温扶肾阳以化气、温护脾阳以化湿、补脾肺以资气化、温敛肝阳以理气和化痰瘀以消阴翳。
Gastric polyps refer to protruding lesions on the gastric mucosa caused by various factors. This condition lacks a specific term in traditional Chinese medicine
but can be classified as "
chang xun
" (intestinal polps) and "
ji ju
" (abdominal mass). The principle of "yang transforms into qi
while yin constitutes form" reflects the fundamental aspects of human life processes. Yang qi is responsible for warming and circulating of the fluids
blood and essence
while yin qi governs their transformation into form and the formation of bodily tissues. When these two forces are in a relative balance
a state of homeostasis is achieved
known as "only when yin is calm and yang is sound can essence-spirit be normal" . Imbalances between these forces lead to health issues. Gastric polyps are understood in this context
with the inability of yang to transform qi as the root of the disease
and excessive creation of form by yin as the branch. Specific manifestations of the weakness of yang qi include yang deficiency of the spleen and kidney
resulting in insufficient transformation of qi
qi deficiency of the lung and spleen
affecting the generation of qi
and overall qi failure in the organs
which leads to disorder of the ascending and descending of qi. The guiding philosophy for gastric polyps should thus be warming and supporting kidney yang to transform qi
warming and protecting spleen yang to resolve dampness
warming and astringing liver yang to regulate qi
and dissolving phlegm and blood stasis to eliminate the yin nebula.
阳化气,阴成形胃息肉中医病机防治思路
yang transforms into qi while yin constitutes formgastric polypTCM pathogenesisprevention and treatment ideas
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