慢性萎缩性胃炎属胃癌前病变，其病机复杂多变，症状反复发作，迁延不愈。该文从胃络-玄府角度入手，分析了慢 性萎缩性胃炎玄府郁闭、胃络瘀阻的病机，探讨风药治疗慢性萎缩性胃炎的开通玄府、畅达胃络之功效。认为借助风药辛 温走窜通达之性，可解表、理气、升阳、通络、散结而开通玄府，畅达胃络。治疗慢性萎缩性胃炎时运用风药可开玄，玄 府通则脾胃升清降浊功能可恢复；风药可引经报使，佐助其他药物共同取效；风药尚可燥湿，结合其开玄之效更助运化湿 邪之功。治疗慢性萎缩性胃炎酌情配伍风药可提升中医药治疗效果，为其临床中医药治疗提供参考。

Chronic atrophic gastritis（CAG）is a precancerous lesion of gastric cancer， and its pathogenesis is complicated， with recurrent and prolonged symptoms. Starting from the view of stomach collaterals and sweat pores，the paper analyzed the pathogenesis of CAG，i.e.，stagnation and obstruction of sweat pores，and blood stasis obstructing stomach collaterals. Furthermore，this paper explored the efficacy of wind medicines in treating CAG by opening sweat pores and unblocking stomach collaterals. It is believed that wind medicines are pungent with warm nature，and have the actions of relieving exterior syndrome，regulating qi，elevating yang，unblocking collaterals and dissipating masses，which enable their efficacy on opening sweat pores and unblocking stomach collaterals. In the treatment of CAG，wind medicines are able to open the sweat pores，and the opening of sweat pores promotes the recovery of spleen-stomach function in lifting lucid yang and lowering turbid yin； wind medicines have the actions of directing herbs to the affected meridian or site， and assisting the other Chinese medicines to achieve satisfactory efficacies；wind medicines can also be used for drying dampness，and enhance the efficacy of removing dampness with the help of their actions of opening sweat pores. During the treatment of CAG，the combination of wind medicines can enhance the therapeutic effect of Chinese herbal medicine，and the exploration in this paper will provide reference for traditional Chinese medicine treatment of CAG in clinic.

R259.733

国家自然科学基金青年科学基金项目（编号：82004332）