脂肪肝中医病因病机探析-周新兰,任洪丽.pdfVIP

第16卷  第6期 辽宁中医药大学学报 Vol. 16 No. 6      2014 年 6 月 JOURNAL OF LIAONING UNIVERSITY OF TCM Jun .，2014 DOI：10.13194/j.issn.1673-842x.2014.06.065 · 基础医学研究 · 脂肪肝中医病因病机探析 周新兰 1 ，任洪丽2 （1. 上海市公共卫生临床中心，上海 201508；2. 上海光华中西医结合医院，上海 200052 ） 探讨分析脂肪肝发病的中医病因及病机。脂肪肝属中医学的“胁痛”“痰浊”“痞满”“积聚”等范畴， 摘 要： 其发病多与酒食过度、情志不遂、贪逸少劳、先天禀赋、药毒、疫毒伤肝等诸多因素有关，导致肝失疏泄，脾失运化， 水湿不化，滋生痰浊，气滞血瘀，其病位在肝，涉及脾胃胆肾诸脏，病机为本虚标实，本虚以脾肾为主，标实主要与 气滞、痰湿、血瘀有关。 关键词：脂肪肝；中医病因；中医病机 ( ) 中图分类号：R575.5 文献标志码：A 文章编号：1673-842X 2014 06- 0173- 03 Explaoration on Pathogenesis of Fatty Liver 1 2 ZHOU Xinlan ，REN Hongli （1.Shanghai Public Health Clinical Center，Shanghai 201508，China；2.Shanghai Guanghua Hospital of Integratded Traditional Chinese and Western Medicine，Shanghai 200052，China） Abstract：It was to investigate the incidence of fatty livers TCM etiology and pathogenesis. Fatty liver belongs to hypochondriac pain，phlegm，fullness in stomach，mass and other syndromes in TCM. The incidence is mainl associated with drinking，emotions disorder，lack of exceries，innate reseason，drug toxicity，epidemic pathogen and many other factors，leading to liver failing to subdue and spleen failing to transport and transfome and water and dampness failed to be resovled，which can lead to phlegm-turbid and blood stasis. The disease locats in the liver，spleen and gallbladder and kidney. It is the syndrome of root deficiency and branche excess and the root deficiency is mainly spleen deficiency while the branch exc