从脾虚湿滞论述黄疸病机  

Discussion on Jaundice Pathogenesis from Spleen Deficiency and Damp Stagnation

作　　者：陈英[1] 刘春阳 牟淑敏[3] 

机构地区：[1]山东中医药大学第一临床学院,山东济南250014 [2]山东省枣庄市中医医院,山东枣庄277101 [3]山东中医药大学附属医院,山东济南250014

出　　处：《辽宁中医杂志》2015年第2期272-273,共2页Liaoning Journal of Traditional Chinese Medicine

摘　　要：由于受西学东渐的影响,很多中医医家认为黄疸的主要病机是湿热壅滞肝胆,阻遏气机,影响胆汁的正常输布,使胆汁外溢肌肤而发黄疸,治疗上则应疏肝利胆、清利湿热。而查阅大量资料可以发现,脾病湿滞更加符合传统医学对黄疸病机的认识。文章通过阐述黄疸的病位、病因、主要病理因素并重新解读治黄代表方剂——茵陈蒿汤和茵陈术附汤,来探讨黄疸的基本病机,提示我们在中西医结合、理论联系临床的过程中要重视中西医理论的差异,不能简单对应概念。Because of the influence of Western medicine,many TCM doctors think the main pathogenesis of jaundice is dampness-heat of liver and gallbladder and stagnation of qi activity,which affect the normal distribution of bile.The bile overflows out of the skin,leading to jaundice.The treatment ways are soothing liver-gallbladder and eliminating dampness and heat.By large amounts of data,it is found that spleen deficiency and damp stagnation of traditional Chinese medicine is the pathogenesis for jaundice.This paper explains the jaundice＇s location,etiology and pathological factors and reinterprets the representative formulae Yinchenhao Decoction and Yinchen Zhufu Decoction in order to discuss the basic pathogenesis of jaundice.It suggests that when we combine traditional Chinese and Western medicine,we should pay more attention to the differences between Chinese and Western medical theories,not equate the concepts simply.

关 键 词：黄疸病机 脾虚湿滞 茵陈蒿汤 茵陈术附汤 

分 类 号：R442.4[医药卫生—诊断学]