摘要
胆石症作为消化系统常见疾病,发病率逐年上升,中医中药治法对此有着明显的优势。谢晶日提出以“肝脾论”学术思想辨治胆石症,每每疗效颇佳。谢师认为,胆石症的病因病机在于肝脾不和,气血不畅,湿热蕴结,日久煎熬胆汁成石。在临证诊治时,总以疏肝健脾为首要纲领,通腑排石为基本治法,配合清热利湿、行气化瘀等治法,把握各种兼次症,邪正兼顾,标本兼治。以“肝脾论”为指导治疗胆石症,为中医临床疗法、用药提供了新思路。
As a common disease of the digestive system,the incidence of cholelithiasis is increasing year by year,and the treatment of traditional Chinese medicine(TCM)has obvious advantages.Professor XIE Jingri has proposed an academic idea called the“liver-spleen theory”to treat cholelithiasis based on syndrome differentiation,which always be eutherapeutic.According to Professor XIE Jingri,the pathogenesis of cholelithiasis is the disharmony of liver and spleen,Qi stagnation and blood stasis,accumulation of dampness and heat,stewing and concentrating bile to form stones.In the clinical diagnosis and treatment,it is always necessary to take“soothing liver and invigorating spleen”as the principal guideline,“dredging Fu-organ and removing gallstones”as the basic method,and then cooperates with other therapies such as“removing dampness and heat”,“promoting Qi and removing blood stasis”and so on.The treatment should grasp concurrent and secondary symptoms,give consideration to both pathogenic Qi and vital Qi,treat both manifestation and root cause.The treatment of cholelithiasis with the guidance of the“liver-spleen theory”provides a new idea for the clinical therapy and medication of TCM.
作者
钱坤
谢晶日
QIAN Kun;XIE Jingri(Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,Heilongjiang,China)
出处
《辽宁中医杂志》
北大核心
2026年第2期37-40,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81473632)
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(国中医人教发[2016]42号)。
关键词
胆石症
肝脾论
肝脾同调
经验
谢晶日
中医药疗法
cholelithiasis
liver-spleen theory
co-regulation of liver and spleen
experience of famous doctor
XIE Jingri
therapy of traditional Chinese medicine
