名老中医胡伟勇治疗慢性萎缩性胃炎学术经验与病案举隅

Academic Experience and Illustrative Cases of Famous Veteran TCM Doctor Hu Weiyong in Treating Chronic Atrophic Gastritis

摘要: 目的：本研究旨在总结名老中医胡伟勇主任治疗慢性萎缩性胃炎(CAG)的临床经验与学术思想，为中医诊治本病及学术传承提供临床参考。方法：采用理论溯源与临床经验归纳相结合的方法，梳理中医经典中CAG相关病机理论，系统整理胡伟勇主任的临证思路、核心治法、代表方剂及用药配伍规律，多维度归纳其完整诊疗体系。结果：胡师治疗CAG秉持“脾胃为先，化湿行气”核心思想，立足经典病机理论，活用四君子汤、二陈汤等经典方，并擅长随证加减药物，形成了从病机辨识、治则确立到方药施治的系统化诊疗特色，临床适用性极强。结论：胡伟勇主任诊治CAG的学术体系完善、用药特色鲜明，贴合本病核心病机，可有效指导临床辨证用药，为名老中医脾胃病学术传承、临床实践及后续研究提供临床参考。

Abstract: Objective: This study aims to summarize the clinical experience and academic thought of the renowned veteran Chinese medicine practitioner, Chief Physician Hu Weiyong, in treating chronic atrophic gastritis (CAG), so as to provide a clinical reference for the TCM diagnosis and treatment of this disease as well as for academic inheritance. Methods: By combining tracing theoretical origins with the summarization of clinical experience, this study systematically reviewed the pathogenesis theories related to CAG in Chinese medicine classics, organized Chief Physician Hu Weiyong’s clinical diagnostic and therapeutic thinking, core therapeutic methods, representative prescriptions, and medication compatibility patterns, and comprehensively summarized his complete diagnostic and therapeutic system from multiple dimensions. Results: In treating CAG, Dr. Hu adheres to the core concept of “prioritizing the spleen and stomach, resolving dampness, and promoting qi movement.” Grounded in classical pathogenesis theories, he flexibly applies classic formulas such as Sijunzi Decoction and Erchen Decoction, and excels at adding or removing medications based on syndrome differentiation. This has resulted in a systematic diagnostic and therapeutic approach encompassing pathogenesis identification, treatment principle establishment, and formula application, which demonstrates very strong clinical applicability. Conclusion: Hu’s academic system for diagnosing and treating CAG is well-established with distinctive medication characteristics. It aligns closely with the core pathogenesis of the disease and can effectively guide clinical syndrome differentiation and medication. This provides a clinical reference for the academic inheritance, clinical practice, and subsequent research of renowned veteran TCM practitioners specializing in spleen and stomach diseases.