高月求从脾论治非酒精性脂肪性肝病经验  

Gao Yueqiu’s experience in treating non-alcoholic fatty liver disease from spleen aspect

作　　者：吕佳[1] 高月求[1] 朱晓骏[1] LYU Jia;GAO Yueqiu;ZHU Xiaojun(Department of Hepatology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院肝病科,上海201203

出　　处：《上海中医药杂志》2020年第2期35-36,73,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81874436,81774256);国家“艾滋病和病毒性肝炎等重大传染病防治”科技重大专项(2018ZX10725504);上海申康市级医院新兴前沿技术联合攻关项目(SHDC12016121);上海中医药大学附属曙光医院四明基金资助项目(SGKJ-201705).

摘　　要：介绍高月求教授治疗非酒精性脂肪性肝病的临床经验。认为非酒精性脂肪性肝病的病位在肝,病机关键是脾失健运、痰浊沉积,久病及肾,终成脾肾亏虚、痰瘀互结之证,治疗时倡导从脾论治。临证以自拟方参葛方加减,配合饮食结构调整及运动指导等治疗,标本兼顾,疗效满意。并附验案1则。This paper introduces Professor Gao Yueqiu’s clinical experience in the treatment of non-alcoholic fatty liver disease.It is believed that the pathogenesis of non-alcoholic fatty liver disease lies in the liver.The key to the pathogenesis is the spleen failure in transportation,turbid phlegm deposition,chronic disease involving the kidney,finally resulting in the spleen and kidney deficiency,phlegm accumulation and blood stasis syndrome.It is suggested that the treatment should be based on the spleen.The clinical symptoms were treated with self-made Shenge formula,combined with diet adjustment and exercise guidance,and the curative effect was satisfactory.One proven case is presented.

关 键 词：非酒精性脂肪性肝病 脾失健运 脾肾亏虚 痰瘀互结 名医经验 高月求 

分 类 号：R249[医药卫生—中医临床基础] R259[医药卫生—中医学]