浅谈温肝暖阳法在逆转慢性肝病肝纤维化过程中的作用  

Discussion on the effect of warming and tonifying liver method in reversing the process of hepatic fibrosis in chronic liver disease

作　　者：鲁军 黄棪 王霞 揭阳 张俊杰[1] LU Jun;HUANG Yan;WANG Xia;JIE Yang;ZHANG Jun-jie(Zhejiang Chinese Medical University,Hangzhou 310053,China)

机构地区：[1]浙江中医药大学,杭州310053

出　　处：《中华中医药杂志》2020年第10期5128-5130,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81973736,No.81473647)。

摘　　要：肝纤维化是慢性肝病发展到肝硬化的必经阶段,抗肝纤维化治疗是中医治疗慢性肝病最突出的优势之一。但目前,顾护肝阳对于机体抗肝纤维化的作用尚未得到详尽论述。为了进一步完善中医药抗肝纤维化的理论,进一步提高中医治疗肝纤维化的辨证水平,文章从肝阳的生理作用入手,从肝肺、肝脾、肝肾等多个角度详细阐释了温阳暖肝法对于肝纤维化治疗的意义。肝阳有解郁之功,蠲饮之能,祛瘀之效,肝阳常运不虚,则瘀血痰饮无以留,湿浊气郁无以生。肝阳升发有力则肺可降气,脾可升清,肾可足阳,肝自难有纤维之变。故而,温肝暖阳法在逆转慢性肝病肝纤维化过程中至关重要,当为医者之所系。Hepatic fibrosis is the necessary stage that chronic liver disease develops into cirrhosis of the liver.Antihepatic fibrosis therapy is one of the most prominent advantages of TCM in treating chronic liver diseases.However,at present,the effect of protecting liver yang on anti-hepatic fibrosis has not been discussed in detail.In order to further improve the theory of antihepatic fibrosis of TCM,and further improve the level of symptom differentiation of traditional Chinese medicine in the treatment of hepatic fibrosis.Starting from the physiological function of liver yang,this paper expounded the significance of warming and tonifying liver in the treatment of hepatic fibrosis from the perspectives of liver-lung,liver-spleen,liver-kidney.Liver yang has the function of relieving depression,drinking and removing blood stasis.If the liver yang rises strongly,the lung can reduce qi,the spleen can rise and clear,the kidney can have sufficient yang,and the liver can hardly have fibrous changes.Therefore,the method of warming and tonifying liver is very important in the process of reversing liver fibrosis of chronic liver disease.

关 键 词：肝纤维化 肝阳 温阳暖肝 慢性肝病 

分 类 号：R259[医药卫生—中西医结合]