Abstract:

Chronic atrophic gastritis (CAG) is a refractory disease of the digestive system, and its incidence is increasing year by year. At present, there is a lack of clear and effective treatment for CAG in western medicine. Professor Tan Bao has been committed to the clinical and basic research of traditional Chinese medicine for the prevention and treatment of CAG for a long time, constantly promoting the innovation. Under the idea of syndrome differentiation combined with disease differentiation and macroscopic combined with microcosmic, and combined with modern pharmacological research, he has formed the dialectical thinking of "dredging collaterals and guiding stagnation". The dialectical thinking is mainly based on invigorating the spleen, and flexibly uses the methods of soothing the liver, promoting the blood circulation, and detoxification. He has achieved satisfactory results in clinic, and most patients are highly dependent. Not only the patients' symptoms have been obviously relieved, the pathology has been reversed. This paper describes in detail Professor Tan Bao's ideas and methods of clinical treatment of CAG in recent years, which can be used for reference for clinical diagnosis and treatment of CAG. A clinical case is attached and shared with colleagues.

Key words:

Chronic atrophic gastritis, Dredging collaterals and guiding stagnation, Treatment based on syndrome differentiation, Experiences of famous doctors

摘要：

慢性萎缩性胃炎是消化系统的一种难治性疾病，且发病率呈逐年上升趋势，目前，西医学对慢性萎缩性胃炎尚缺乏明确有效的治疗方案。谭宝教授长期致力于中医药防治慢性萎缩性胃炎的临床与基础研究，不断推陈促新，在辨证结合辨病、宏观结合微观的思想下，结合现代药理学研究，形成了“通络导滞”的辨证思路，主以健脾为本，灵活运用疏肝、活血、解毒之法，在临床上取得了较为满意的疗效，多数患者依存性很高，不仅症状明显缓解，而且病理检查结果也得到了逆转。本文详细阐述近年来谭宝教授临床治疗慢性萎缩性胃炎的诊疗思路与方法，对临床诊治慢性萎缩性胃炎具有一定的借鉴意义，并附临床验案1则，与各同道交流分享。

关键词:

慢性萎缩性胃炎, 通络导滞, 辨证论治, 名医经验