伏邪理论在中医药调治慢性肝病中的运用.pdfVIP

( ) • 935 • 中华中医药杂志 原中国医药学报 2011年5月第26 卷第 5 期 CJTCMP , May 2011, Vol . 26, No.5 ·论著· 伏邪理论在中医药调治慢性肝病中的运用 刘果，唐旭东 （中国中医科学院西苑医院消化科，北京 100091） 摘要：慢性肝病的发病具有反复发作、迁延难愈的特点，其临床表现也与中医伏邪致病有相似之处。湿热留 恋、瘀阻肝络，脾气亏虚既是慢性肝病局部与全身的重要病理变化，亦是使其复发的病理基础。运用中医治疗伏 邪的思路调治本病，以清利活血健脾法为主，结合四时五脏阴阳变化灵活加减，疗效令人满意。 关键词：复发；慢性肝病；清利活血健脾法；伏邪 基金资助：国家自然科学基金资助项目（No Application of insidious pathogen theory in the repressing recurrence of chronic liver disease LIU Guo, TANG Xu-dong (Xiyuan Hospital of Chinese Academy of Chinese Medcine Sciences, Beijing 100091, China) Abstrct: Chronic liver disease has anfractousive pathogenesy, which they affect each other and even emerge vicious cycle \. It causes the disease easily to relapse and last a very long period. We have got satisfied therapeutic effect in treating Chronic liver disease by using the methods of norishing Qi, promoting blood circulation, removing toxic materials guided by determination of treatment based on differentiation of syndromes. Key words: Recurrence; Chronic liver disease; Formula of removing toxic materials, promoting blood circulation, invigorating the spleen; Insidious pathogen Fund assistance: National Natural Science Foundation of China ( No) 慢性肝病已成为严重威胁人民生命健康的重大 而由里外发，或为新感引动，或为正虚自发，且病情 疾病。我国是病毒性肝炎高发区，其他如酒精性肝 较重的发病特点，即是伏气温病理论的基本内容； 病、非酒精性脂肪性肝炎（NASH）、自身免疫性肝炎 同时，《黄帝内经》中的伏气是广义的，并不限于外 及原发性胆汁性肝硬化（PBC）等疾病亦可导致慢性 感热病。如《素问 标本病传论》说：“人有客气，有