中医对肝纤维化的认识及论治方法研究现状.pdfVIP

国际中医中药杂志2018年1月第40卷第1期 Int J Trad Chin Med, January 2018, Vol. 40, No.1 ·87 · ·综述 · 中医对肝纤维化的认识及论治方法研究现状 杨广栋 高志远 李卫民 徐湘江 【摘要】 现有研究认为，肝纤维化是可逆的，与中医的认识相合。中医药对肝纤维化的治疗有一 定的优势，本文归纳近年来现代中医临床对肝纤维化的认识及治疗方法，探索有效治疗理念、合适治疗 方法以指导临床取得较好疗效。 【关键词】 肝纤维化；中医；论治；综述 Understanding of liver fibrosis and treatment methods of traditional Chinese medicine research status Yang Guangdong, Gao Zhiyuan, Li Weiming, Xu Xiangjiang. Department of the Spleen and Liver Disease, Hebei Province Cangzhou Hospital of Traditional and Western Medicine, Cangzhou 061001, China Corresponding author: Yang Guangdong, Email: yangguangdong514@163.com 【Abstract 】 The modern medical research has confirmed that liver fibrosis is reversible, but there is no reliable drugs. The traditional Chinese medicine on liver fibrosis treatment has showed some certain advantages, but its basic etiology and pathogenesis and treatment methods have not yet been discussed. This paper summarized recent 5 years of literature about the knowledge and treatment of traditional Chinese medicine for liver fibrosis, in order to explore more appropriate treatment to guide the clinical. 【Key words 】 Liver fibrosis; Basic theory of traditional Chinese medicine; Causal treatment; Review 肝纤维化为急慢性肝病发展成为肝硬化的必 导致肝纤维化持续活动的主要因素；湿热与疫毒 [ ] 经阶段，现有研究表明，肝纤维化可以逆转 1 ，但 侵袭且相互胶着是疾病难以祛除的原因，也是疾 [ ] 尚缺乏可靠的特异性治疗药物。中医药对肝纤维 病持续、慢性化的重要原因。申弘等 4 认为，慢性 化的治疗具有一定优势，本文归纳近年来现代中 乙型肝炎肝纤维化为湿热疫毒内侵，深伏肝脏血 医临床对肝纤维化的病因、病机的认识及论治方 分，暗耗正气，逾时而发；清热化湿、凉血解毒 法，以期对肝纤维化的诊治规范有所裨益。