摘要
黄元御的“一气周流”理论阐述了以中土为轴、枢架四象的气机运动变化。非酒精性脂肪性肝病是临床常见的慢性肝病,基于该理论,本文认为本病的病机根本在于中气斡旋失司,进一步导致脏腑气机失调,气血津液代谢异常,湿邪痰浊瘀血内生,壅滞肝脏。故治疗上以恢复中气斡旋,使一身之气周流畅行为关键,灵活选择应用健脾利湿、疏肝解郁、温阳补土、利湿化痰、泄浊化瘀等法用药。
Huang Yuanyu's theory of“One Qi Circulation”describes the changes in qi movement with the Middle Earth as the axis,pivoting the four signs.Non-alcoholic fatty liver disease is a prevalent clinical chronic liver disorder.Based on the theory,this paper believes that the pathogenesis of this disease lies in the failure of the good offices of the middle qi,which further leads to the dysfunction of qi in the internal organs,the metabolism of qi,blood and fluid is abnormal,and dampness,phlegm,blood stasis and stagnation of the liver are generated within the body,ultimately congesting the liver.Therefore,the key to treatment is to restore the good offices of the middle qi to reinstate unimpeded systemic qi circulation.Tailored approaches include invigorating spleen and removing dampness,dispersing stagnated liver qi,warming yang and tonifying earth,eliminating dampness and resolving phlegm,resolving turbidity and expelling blood stasis.
作者
黄淑霞
吕文良
HUANG Shuxia;LYU Weniang(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053;Beijing University of Chinese Medicine)
出处
《现代中医临床》
2025年第4期33-37,共5页
Modern Chinese Clinical Medicine
基金
国家重点研发计划“中医药现代化研究”项目(No.2018YFC1705700)
中国中医科学院科技创新工程项目(No.CI2021A00801)
传承名老中医药专家学术经验专项(No.HLCMHPP2023013)。
关键词
非酒精性脂肪性肝病
黄元御
一气周流
四圣心源
non-alcoholic fatty liver disease
Huang Yuanyu
One Qi Circulation
Si Sheng Xin Yuan(Teachings of the Four Sages)
