通腑开窍法治疗轻微型肝性脑病探讨  

Discussion on Treatment of Mild Hepatic Encephalopathy with Dredging Fu-organs for Resuscitation Method

作　　者：罗莉芬 姚春[2] 杨小徽 姚凡[2] 王萌[2] LUO Lifenl;YAO Chun;YANG Xiaohui;YAO Fan;WANG Meng(Guangxi University of Chinese Medicine,Nanning 530001,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,China)

机构地区：[1]广西中医药大学,广西南宁530001 [2]广西中医药大学第一附属医院,广西南宁530023

出　　处：《山东中医药大学学报》2018年第5期387-389,共3页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81160439)

摘　　要：轻微型肝性脑病由痰、瘀、毒互结于肝、大肠、脑导致五脏六腑功能失调而发病,主要病机为腑气不通、脑窍蒙闭。治疗宜通腑开窍,以通腑之力清上泄下、调畅气机,使机体恢复清气在上、浊气在下的安和状态,达到神明即安的目的。临床上,大黄煎剂（大黄30 g、乌梅30 g）保留灌肠为通腑开窍法主要代表方。Mild hepatic encephalopathy,phlegm,blood stasis,and poisoning in the liver,large intestine,and brain cause dysfunction of the internal organs,and the main pathogenesis is qi blockage of fu-organs and cerebral confusion. The treatment should be dredging fu-organs for resuscitation. Dredging fu-organs could clear the upper and purging the lower,ventilate qi movement,so that the body can restore to the balanced state and achieve the purpose of bright spirit.Clinically,Dahuang Decoction [Dahuang（Rhei Radix Et Rhizoma） 30 g,Wumei（Mume Fructus） 30 g] retained enema is the main representative prescription of dredging fu-organs for resuscitation method.

关 键 词：通腑开窍法 轻微型肝性脑病 腑气不通 脑窍蒙闭 

分 类 号：R256[医药卫生—中医内科学]