摘要
池晓玲教授认为在非酒精性脂肪性肝病的病机中,肝失疏泄、脾失健运常为其根本,外候表现为痰瘀互结,提出了本病应以疏肝健脾、化痰祛瘀为基本治疗方法。又强调治疗该病的过程中需充分考虑天、地、人三者间相互交感,以丙申年为例结合五运六气的变动规律进行用药,治疗非酒精性脂肪性肝病收获良效。
Professor CHI Xiaoling holds that liver stagnation and spleen deficiency are the most fundamental in the disease mechanism of non-alcoholic fatty liver disease(NAFLD),usually manifesting as inter-binding of phlegm and stasis,and therefore the principle treatment should be soothing liver and invigorating spleen,resolving phlegm and removing stasis. She also emphasizes that during the treatment the interactions among the heaven,earth and human should be considered. For example,in the Bingshen year,the prescription should be based on the movement of five circuits and six qi,so as to obtain a satisfactory effect for NAFLD.
引文
[1]黎胜,魏泽辉,谢玉宝,等.池晓玲教授四时用药治疗慢性乙型肝炎经验撷菁[J].新中医,2015(7):11.
[2]佚名.黄帝内经·素问[M].田代华,整理.北京:人民卫生出版社,2005.
[3]王象礼.陈无择医学全书[M].北京:中国中医药出版社,2015.
[4]程华焱.脂肪肝中医病名的文献研究[J].新疆中医药,2008,26(6):12.
[5]中国中西医结合学会消化系统疾病专业委员会.非酒精性脂肪性肝病的中西医结合诊疗共识意见[J].中国中西医结合杂志,2011,31(2):155.
[6]乔娜丽,杨钦河,纪桂元,等.论肝郁脾虚是脂肪肝的基本发病病机[J].时珍国医国药,2008,19(5):1238.
[7]张顺贞,石安华,姚政,等.非酒精性脂肪肝中医病因病机探讨[J].云南中医中药杂志,2015,36(1):17.