摘要
酒精性肝病作为肝损伤性疾病,由于饮酒过多导致,西医治疗有一定局限性。王庆国教授辨治酒精性肝病效果突出,认为酒精性肝病以肝郁脾虚为本,湿热郁遏为标,亦为初期病机,治疗首先应标本兼顾,将疏肝健脾,清热利湿贯穿始终;其次根据病机演变规律,分期结合辨证治疗。随病情演变,病机呈现阶段性变化,中期以湿热痰阻、气滞血瘀为甚;后期气滞、血瘀、痰浊交织错杂,病情进一步深化,直至肝脾肾同病,气血水互结。故酒精性肝病的治疗中、后期根据病机发展动态分别予以活血化瘀、滋阴软坚等药物扶正祛邪、攻补兼施。
Alcoholic liver disease as a liver damage disease,due to excessive drinking,western medicine treatment has certain limitations.Professor Wang Qingguo has an outstanding effect on the treatment of alcoholic liver disease.He believes that alcoholic liver disease is root on stagnation of liver qi and spleen deficiency,and dampness and heat accumulation is the manifestation,which is also the initial pathogenesis.Therefore,the treatment should first take into account both manifestation and root cause of disease and focus on dispersing the stagnated liver-energy and invigorating the spleen,clearing heat and promoting diuresis throughout.Secondly,according to the law of pathogenesis evolution,stage combined with dialectical treatment.With the evolution of the disease,the pathogenesis shows stage changes,and in the middle stage,dampness and heat phlegm obstruction,stagnation of qi and blood stasis are most common.In the later stage,qi stagnation,blood stasis,phlegm and turbidity are intertwined.Until the dieases get worse,cause that dysfunction of liver,spleen and kidney,and qi,blood and body fluid are combined with each other.Therefore,in the middle and late treatment of alcoholic liver disease,according to the development of the pathogenesis of the disease,drugs such as promoting blood circulation for removing blood stasis,nourishing yin and resolving masses are used to strengthening the body resistance to eliminate pathogenic factors,and reinforcement and elimination in combination.
作者
廖雪晶
张双
王奕方
康向东
王庆国
LIAO Xuejing;ZHANG Shuang;WANG Yifang;KANG Xiangdong;WANG Qingguo(Beijing Key Laboratory,School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing,100029,China)
出处
《中国医药导报》
CAS
2022年第24期124-127,共4页
China Medical Herald
基金
国家中医药管理局全国名老中医药专家传承工作室建设项目(2014011)。
关键词
酒精性肝病
柴胡类方
伤酒
酒癖
酒臌
Alcoholic liver disease
Chaihu associated prescriptions
Injury to alcohol
Alcoholism
Alcoholic tympanites
