[1]刘亚茹,王永森,卢美琪,等.基于“心胃相关”理论论治慢性萎缩性胃炎伴抑郁焦虑探讨[J].西部中医药,2026,39(06):20-23.[doi:10.12174/j.issn.2096-9600.2026.06.05]
　LIU Yaru,WANG Yongsen,LU Meiqi,et al.Discussion on the Treatment of Chronic Atrophic Gastritis with Depression and Anxiety Based on the Theory of "Heart-Stomach Correlation"[J].Western Journal of Traditional Chinese Medicine,2026,39(06):20-23.[doi:10.12174/j.issn.2096-9600.2026.06.05]
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基于“心胃相关”理论论治慢性萎缩性胃炎伴抑郁焦虑探讨()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年06期
页码:
20-23
栏目:
学术探讨
出版日期:
2026-06-08

文章信息/Info

Title:
Discussion on the Treatment of Chronic Atrophic Gastritis with Depression and Anxiety Based on the Theory of "Heart-Stomach Correlation"
作者:
刘亚茹1, 王永森2, 卢美琪2, 丁鑫1, 曹志群1
1.山东中医药大学，山东 济南 250000
2.山东中医药大学附属医院，山东 济南 250000
Author(s):
LIU Yaru1, WANG Yongsen2, LU Meiqi2, DING Xin1, CAO Zhiqun1
1.Shandong University of Traditional Chinese Medicine, Jinan 250000, China
2.Affiliated Hospital to Shandong University of Traditional Chinese Medicine, Jinan 250000, China
关键词:
萎缩性胃炎; 慢性; 抑郁; 焦虑; 心胃相关; 中医论治
Keywords:
atrophic gastritis;  chronic; depression; anxiety; heart-stomach correlation; TCM treatment based on syndrome differentiation
分类号:
R259
DOI:
10.12174/j.issn.2096-9600.2026.06.05
文献标志码:
A
摘要:
基于“心胃相关”论治慢性萎缩性胃炎（chronic atrophic gastritis，CAG）伴抑郁焦虑理论探讨。CAG病位在胃，抑郁焦虑既是CAG的病理产物，也是其致病因素。中医认为心胃相关，二者经络相通、生理相关、病理相及；心神失常是CAG伴抑郁焦虑发病之本，心胃关系失和是疾病发展的关键，脾失运化、心神失养，土不伏火、真阳外越，胃土不降、心神虚浮是其具体体现。临证治疗调中与安神并举，宜采用健脾益气、养血安神，健脾化痰、宁心安神，畅中解郁、调畅心神，泻心安神、清透胃热，滋阴宁心、补阴益胃等治法。
Abstract:
This paper presents a theoretical exploration of treating chronic atrophic gastritis (CAG) complicated by depression and anxiety based on the "heart-stomach correlation" theory. The disease location of CAG is in the stomach. Depression and anxiety are not only pathological consequences of CAG but also contributing factors to its development. In traditional Chinese medicine, the heart and stomach are considered closely related—they share interconnected meridians, are physiologically associated, and pathologically affect each other. Dysfunction of heart spirit (Shen) is the root cause of CAG complicated by depression and anxiety, while disharmony between the heart and stomach is the key to disease progression. The specific manifestations include: the spleen failing to transport and transform, leading to malnourishment of the heart spirit; earth failing to subdue fire, resulting in true Yang floating externally; and stomach earth failing to descend, causing the heart spirit to vacillate upward. In clinical treatment, regulating the middle (spleen and stomach) should be combined with calming the spirit. Appropriate therapeutic methods contain: invigorating the spleen and supplementing Qi, nourishing the blood and calming the spirit; strengthening the spleen and resolving phlegm, tranquilizing the heart and calming the spirit; smoothing the middle and relieving depression, regulating and harmonizing the heart spirit; draining the heart to calm the spirit, clearing and venting stomach heat; and nourishing Yin to pacify the heart, supplementing Yin and benefiting the stomach.

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备注/Memo

备注/Memo:
山东省自然科学基金面上项目（ZR2020MH355）。刘亚茹（1997—），女，硕士学位，医师。研究方向：中医药防治消化系统疾病。
更新日期/Last Update: 2026-06-15