主题：胃病，送给格格 -- 虽远必诛

Barry J. Marshall

AKA Barry James Marshall

Born: 30-Sep-1951

Birthplace: Kalgoorlie, Western Australia, Australia

Gender: Male

Race or Ethnicity: White

Sexual orientation: Straight

Occupation: Doctor, Scientist

Nationality: Australia

Executive summary: H. pylori bacteria causes ulcers

For decades, medical students were taught that chronic stomach ailments, including peptic ulcers and gastritis, were caused by stress, greasy food, or too much alcohol. Barry J. Marshall, an Australian physician, suspected that stomach ulcers are caused instead by a bacteria, Helicobacter pylori. His breakthrough came painfully in 1984, when, frustrated by failed efforts to infect lab animals with the H. pylori, he drank a few ounces of liquid containing the bacteria -- and promptly developed gastritis.

His work was not received enthusiastically. In Marshall's words, "When I was criticized by gastroenterologists, I knew that they were mostly making their living doing endoscopies on ulcer patients. So I'm going to show you guys. A few years from now you'll be saying, 'Hey! Where did all those endoscopies go to?' And it will be because I was treating ulcers with antibiotics." Many stomach ailments can now be cured permanently with a short prescription of antibiotics, and Marshall later developed an enzyme-based breath test for the presence of the bacterium. Marshall was awarded the Nobel Prize in Medicine in 2005, sharing the honor with his longtime collaborator, J. Robin Warren.

More recently, an interview with Marshall has been included in TV infomercials promoting World抯 Greatest Treasury of Health Secrets, a book of 'alternative' medical advice that includes an article on H. pylori. Marshall has stated that the nature of the book was not clear to him as edited the article, and that the brief, rather rushed interview was conducted amid the hubbub after he won his Nobel Prize. On his weblog, he has apologized to people who bought the book, but reassured readers that the book's article on H. pylori is factually accurate.

Father: Robert Marshall (pipefitter, b. 1932)

Brother: William Marshall

Brother: Andrew Marshall (b. 1958)

Sister: Marie Marshall

Wife: Adrienne Marshall (psychologist, m. 1972)

Son: Luke (b. 1973)

Daughter: Bronwyn (b. 1975)

Daughter: Caroline (b. 1978)

Daughter: Jessica (b. 1981)

High School: Newman College, Churchlands, Australia

Medical School: M.B., B.S. Medicine-Surgery, University of Western Australia (1975)

Professor: Medicine, University of Virginia (1986-94)

Professor: Internal Medicine, University of Virginia (1996)

Professor: Medicine, University of Western Australia (1997-99)

Professor: Microbiology, University of Western Australia (1999-)

Lasker Award 1995

Benjamin Franklin Medal 1999

Nobel Prize for Medicine 2005 (with J. Robin Warren)

已经有定论的事情。

中医，西医都没有胃部不适的诊断。

胃炎以后会讲到。胃炎是胃粘膜的炎性反应，溃疡是一个坑，也可能是一个洞，如果穿孔的话。

最后，就不要讲同我中医了。

中医诊断是 “胃脘痛”，包括急慢性胃炎，溃疡，胃癌，胃神经官能症等等。

要同“真心痛”“腹痛”“胁痛鉴别”。

辩证

1 寒邪客胃----良附丸

2 饮食停滞----保和丸，消导无效----小承气汤

3 肝气犯胃----柴胡疏肝散

4 肝胃郁热----化肝煎

5 淤血停滞----失笑散+丹参饮，虚证----调营敛肝饮

6 胃阴亏虚----一贯煎+芍药甘草汤

7 脾胃虚寒----黄芪建中汤，寒盛----大建中汤

寒热交错----甘草泻心汤。

够不够。

哪个也治不了消化溃疡，尤其是十二指肠溃疡，但是用奥美拉唑80% 可以完全治愈。