[1]殷宏振,麻春杰.麻春杰教授从“瘀”论治慢性萎缩性胃炎和胃癌前病变经验撷菁[J].西部中医药,2026,39(04):9-13.[doi:10.12174/j.issn.2096-9600.2026.04.03]
 YIN Hongzhen,MA Chunjie.Professor Ma Chunjie?s Experience in Treating Chronic Atrophic Gastritis and Precancerous Lesions of Gastric Cancer from "Stasis"[J].Western Journal of Traditional Chinese Medicine,2026,39(04):9-13.[doi:10.12174/j.issn.2096-9600.2026.04.03]
点击复制

麻春杰教授从“瘀”论治慢性萎缩性胃炎和胃癌前病变经验撷菁()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年04期
页码:
9-13
栏目:
名医名家
出版日期:
2026-04-15

文章信息/Info

Title:
Professor Ma Chunjie?s Experience in Treating Chronic Atrophic Gastritis and Precancerous Lesions of Gastric Cancer from "Stasis"
作者:
殷宏振1,2, 麻春杰1
1.内蒙古医科大学中医学院,内蒙古 呼和浩特 010110
2.内蒙古自治区中医医院肿瘤中心,内蒙古 呼和浩特 010050
Author(s):
YIN Hongzhen1,2, MA Chunjie1
1.College of TCM, Inner Mongolia Medical University, Hohhot 010110, China
2.Cancer Center, Inner Mongolia Autonomous Region Hospital of Traditional Chinese Medicine, Hohhot 010050, China
关键词:
萎缩性胃炎慢性胃癌前病变麻春杰和血化瘀行血散瘀
Keywords:
atrophic gastritis chronicprecancerous lesions of gastric cancerstasisharmonizing blood and dissipating stasispromoting blood flow and dispelling stasis
分类号:
R256.3
DOI:
10.12174/j.issn.2096-9600.2026.04.03
文献标志码:
A
摘要:
系统阐述麻春杰教授在临床中辨瘀的要点,包括宏观症状与微观胃镜、病理表现,并分析瘀与虚、寒、热、痰、毒等病理因素相合致病的复杂病机。他认为血瘀是慢性萎缩性胃炎和胃癌前病变发生与恶性进展的关键病机,贯穿疾病始终。在治疗时强调以化瘀为核心,分和血与行血两法,并注重结合扶正与祛邪,灵活配伍益气、温阳、养阴、清热、散寒、化痰、解毒等药物,同时提倡采用中西药联合方案以提高疗效。
Abstract:
The paper systematically expounds professor Ma Chunjie’s key points of differentiating the stasis in clinic, including macroscopic symptoms and microscopic gastroscopy, as well as pathological findings, and analyzes the stasis interacting with deficiency, cold, heat, phlegm and toxin in the complex pathogenesis. Professor Ma Chunjie thinks that blood stasis is the key pathogenesis of chronic atrophic gastritis and precancerous lesions of gastric cancer occurrence and malignant progression throughout the entire course of the disease. The treatment strategy must emphasize resolving blood stasis as the core principle, encompassing harmonizing blood, and promoting blood flow, stressing the combination with enhancing healthy Qi and eliminating evils, flexibly adding the drugs for benefiting Qi, warming Yang, nourishing Yin, clearing heat, dispelling cold, resolving phlegm and toxicity-clearing, meanwhile, the adoption of an integrated Chinese-Western medicine regimen is advocated to enhance therapeutic effects.

相似文献/References:

[1]崔毅.益气活血汤治疗慢性盆腔炎64例临床观察[J].西部中医药,2012,25(12):75.
 CUI Yi.Clinical Observation on YiQi HuoXueTang and Activating Blood Decoction in Treating 64 Cases of Chronic Pelvic Inflammatory Disease[J].Western Journal of Traditional Chinese Medicine,2012,25(04):75.
[2]尤海鹰.制萎煎治疗脾胃虚弱型慢性萎缩性胃炎40例[J].西部中医药,2013,26(03):84.
 YOU Haiying.ZhiWeiJian in Treating 40 Cases of Chronic Atrophic Gastritis of Spleen-stomach Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2013,26(04):84.
[3]张建平,刘洁,赵志亮.针灸治疗慢性前列腺炎25例疗效观察[J].西部中医药,2013,26(03):111.
 ZHANG Jianping,LIU Jie,ZHAO Zhiliang.Observation on Acupuncture in Treating 25 Cases of Chronic Prostatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):111.
[4]魏国俊,郑恒恒,指导:燕中.损伤胶囊与正骨水治疗慢性软组织损伤疗效比较[J].西部中医药,2013,26(11):8.
 WEI Guojun,ZHENG Hengheng,Director: YAN Zhong.The Difference in Clinical Effects between SunShang Capsule and Bonesetting Liquid in Treating Chronic Soft Tissue Injury[J].Western Journal of Traditional Chinese Medicine,2013,26(04):8.
[5]朱建坤,温晓辉,梁玉杰△.敦煌葆元膏对下丘脑-垂体-肾上腺轴作用的实验研究*[J].西部中医药,2013,26(11):13.
 ZHU Jiankun,WEN Xiaohui,LIANG Yujie.Experimental Study on the Effects of DunHuang BaoYuan Ointment on Hypothalamic-pituitary-adrenal Axis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):13.
[6]孙国荣,景克荣,权亚喜.生脉注射液对慢性心衰患者心功能及其心率变异性的影响[J].西部中医药,2013,26(04):68.
 SUN Guorong,JING Kerong,QUAN Yaxi.The Influence of ShengMai Injection on Heart Function and Heart Rate Variability of Patients with Chronic Heart Failure[J].Western Journal of Traditional Chinese Medicine,2013,26(04):68.
[7]俄静,夏小军,杨楠.益气温阳法治疗慢性血小板减少性紫癜经验举隅[J].西部中医药,2013,26(06):58.
 E Jing,XIA Xiaojun,YANG Nan.Invigorating Qi and Yang Method in Treating Chronic Thrombocytopenic Purpura[J].Western Journal of Traditional Chinese Medicine,2013,26(04):58.
[8]马继利.中西药物联用治疗慢性萎缩性胃炎58例[J].西部中医药,2013,26(06):91.
 MA Jili.Treatment for 58 Cases of Chronic Atrophic Gastritis with Integrative Medicines[J].Western Journal of Traditional Chinese Medicine,2013,26(04):91.
[9]延保国.还原型谷胱甘肽联合苦黄注射液治疗慢性乙型肝炎40例疗效观察[J].西部中医药,2012,25(09):68.
 YAN Bao-guo.Curative Observation on Reduced Glutathione for Injection and KuHuang Injection in Treating 40 Cases of Chronic Hepatitis B[J].Western Journal of Traditional Chinese Medicine,2012,25(04):68.
[10]王富国,张之舜,丁芬.中西医结合治疗慢性阻塞性肺疾病急性加重期28例疗效观察[J].西部中医药,2012,25(09):70.
 WANG Fu-guo,ZHANG Zhi-shun,DING Fen.Treating 28 Cases of Chronic Obstructive Pulmonary Disease at Acute Exacerbation with Integrated Traditional Chinese and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2012,25(04):70.
[11]樊斗霜.枳实消痞丸(汤)合丹参饮加减治疗慢性萎缩性胃炎32例[J].西部中医药,2013,26(02):72.
 FAN Doushuang.Modified ZhiShi XiaoPiWan(Prescription) and DanShenYin in Treating 32 Cases of Chronic Atrophic Gastritis[J].Western Journal of Traditional Chinese Medicine,2013,26(04):72.
[12]于靖文,刘震,王少丽,等.中药联合四联疗法治疗幽门螺旋杆菌相关慢性萎缩性胃炎的系统评价[J].西部中医药,2025,38(02):51.[doi:10.12174/j.issn.2096-9600.2025.02.14]
 YU Jingwen,LIU Zhen,WANG Shaoli,et al.Systematic Evaluation of Chinese Medicine Combined with Quadruple Therapy in the Treatment of Hp-Related Chronic Atrophic Gastritis[J].Western Journal of Traditional Chinese Medicine,2025,38(04):51.[doi:10.12174/j.issn.2096-9600.2025.02.14]
[13]王忻,王静,张志明,等.张志明教授辨治慢性萎缩性胃炎经验总结[J].西部中医药,2025,38(09):22.[doi:10.12174/j.issn.2096-9600.2025.09.04]
 WANG Xin,WANG Jing,Director: ZHANG Zhiming,et al.Summary of Professor Zhang Zhiming’s Experience in Treating Chronic Atrophic Gastritis[J].Western Journal of Traditional Chinese Medicine,2025,38(04):22.[doi:10.12174/j.issn.2096-9600.2025.09.04]

备注/Memo

备注/Memo:
内蒙古自治区自然科学基金(2021MS08088);内蒙古自治区科技攻关项目(2021GG0193);内蒙古自治区教育厅研究生项目(YKD2023ZY001);内蒙古自治区教育厅科创项目(B20231120Z);内蒙古自治区卫生健康委办公室首府地区公立医院高水平临床专科建设项目科技项目(2024SGGZ040)。殷宏振(1994—),男,博士学位,主治医师。研究方向:中西医结合防治恶性肿瘤。
更新日期/Last Update: 2026-04-15