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基于“肝与大肠相通”理论从肠论治非酒精性脂肪性肝病 被引量:1

Treatment of Nonalcoholic Fatty Liver Disease from Intestine Based on“Connecting Liver and Large Intestine”Theory
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摘要 立足“肝与大肠相通”理论,阐述肝与大肠在脏腑、气血、经络、五行等方面的密切关系,提出非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)病机以肝肠气机失调为基础,以湿热痰瘀内结为关键,主张从肠分阶段论治NAFLD,早期方拟小柴胡汤着重畅通肠肝气机,中期予茵陈蒿汤以通便清化湿热,后期肝癌、肝硬化者则在二方基础上随症加减。 The research content mainly elaborates the close relationship between the liver and the large intestine in the aspects of Zang-Fu organs,Qi and blood,channels and five elements through the theory of“communication between the liver and the large intestine”,and proposes that the pathogenesis of non-alcoholic fatty liver disease(NAFLD)is based on the disorder of the liver-intestinal Qi activity,and the key lies in dampness-heat and phlegm stasis.In the early stage,Xiaochaihu decoction should focus on the obstruction of intestinal liver-Qi activity,and in the middle stage,Yinchenhao decoction should be used to relieve dampness-heat.In the late stage,patients with liver cancer and cirrhosis should increase and decrease with the disease.
作者 林育群 杨正宁 童凌 高艺婷 陈浩 李喜乐 张海鸥 LIN Yuqun;YANG Zhengning;TONG Ling;GAO Yiting;CHEN Hao;LI Xile;ZHANG Haiou(Second People s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350000,China;Zhangzhou Traditional Chinese Medicine Hospital,Zhangzhou 363000,China;Fujian Provincial Elderly Hospital,Fuzhou 350000,China)
出处 《陕西中医药大学学报》 2025年第2期44-48,共5页 Journal of Shaanxi University of Chinese Medicine
基金 中国中医科学院科技创新工程学部委员学术传承与传播专项课题(CI2022E017XB)。
关键词 肝与大肠相通 从肠论治 非酒精性脂肪性肝病 肝肠互助 肝肠气机失调 connecting liver and large intestine treatment from the intestine fatty liver disease liver gut mutual aid dysfunction of liver and intestinal Qi system
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