从“少阳为枢”论治慢性萎缩性胃炎伴焦虑状态

Treatment of Chronic Atrophic Gastritis with Anxiety State from “Shaoyang Being the Pivot”

摘要: 慢性萎缩性胃炎(CAG)作为常见消化系统疾病，临床常并发不同程度情绪障碍。中医认为，CAG伴焦虑状态主要因气血失调所致，而“少阳为枢”理论在此类病症治疗中具有独特优势。少阳涵盖肝、胆及三焦，是人体气机升降出入的重要调节枢纽。CAG伴焦虑患者多存在少阳枢机不利、脾胃升降失调现象，进而影响消化功能与情绪状态。治疗原则为和解少阳、调畅气机，以恢复少阳枢机功能、调和脾胃、缓解焦虑。本文基于“少阳为枢”理论，从少阳对气机升降、气血运行的调节作用出发，剖析少阳枢机不利与CAG病机间的关联，并以调畅少阳枢机为切入点，探讨枢利少阳法在治疗CAG伴焦虑状态中的疗效，为针灸治疗CAG提供新的临床诊疗思路。

Abstract: Chronic atrophic gastritis (CAG), a common digestive disorder, is frequently accompanied by varying degrees of emotional disturbances in clinical settings. Traditional Chinese Medicine (TCM) posits that anxiety associated with CAG primarily stems from qi and blood disharmony. The theory of “Shaoyang Being the Pivot” offers unique therapeutic advantages for such conditions. Shaoyang encompasses the liver, gallbladder, and triple energizer, serving as a crucial regulatory hub for the ascending, descending, entering, and exiting of qi within the body. Patients with CAG and anxiety often exhibit impaired Shao Yang pivotal function and disrupted ascending-descending movements of the spleen and stomach, which subsequently affect digestive function and emotional state. The therapeutic principle involves harmonizing the Shao Yang and regulating qi movement to restore Shao Yang pivotal function, harmonize the spleen and stomach, and alleviate anxiety. Based on the “Shaoyang Being the Pivot” theory, this paper analyzes the connection between impaired Shaoyang pivotal function and the pathogenesis of CAG, focusing on Shaoyang’s regulatory role in qi movement and qi-blood circulation. It explores the efficacy of the “facilitating Shaoyang pivotal function” method in treating CAG with anxiety, providing new clinical insights for acupuncture therapy of CAG.