吕志平教授论治乙型肝炎后肝硬化学术经验探讨  

Discussion on Professor LV Zhi-ping’s Academic Experience in Treating Liver Cirrhosis After Hepatitis B

作　　者：黄少慧[1] 黄梓健 孙海涛[1] 高磊[1] 张国华[1] 安海燕[1] 庞杰[1] 贺松其[1,2] HUANG Shaohui;HUANG Zijian;SUN Haitao;GAO Lei;ZHANG Guohua;AN Haiyan;PANG Jie;HE Songqi(School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China;Integrated traditional Chinese and Western Medicine Hospital,Southern Medical University,Guangzhou 510315,China)

机构地区：[1]南方医科大学中医药学院,广东广州510515 [2]南方医科大学中西医结合医院,广东广州510315

出　　处：《现代中医药》2021年第3期68-72,共5页Modern Chinese Medicine

基　　金：第四批全国中医临床优秀人才研修项目(国中医人教发【2017】24号);全国名老中医药专家传承工作室项目(国中医药人教发【2016】42号)。

摘　　要：吕志平教授认为乙型肝炎后肝硬化病因病机特点为湿热毒邪瘀阻,肝郁脾虚,其病理演变规律为肝病传脾,肝脾同病,虚者愈虚,实者愈实;吕志平教授在论治乙型肝炎后肝硬化时提出"肝胆病首重疏肝健脾调气机"的学术观点,其治疗原则为"疏肝利胆治其标,益气健脾固其本,解毒化瘀贯穿治疗全程"。其对诊治乙型肝炎后肝硬化的临床经验反映在诊治该病的医案过程里,并取得较好的疗效。Professor LV Zhi-ping believes that the etiology and pathogenesis of post-hepatitic cirrhosis are characterized by "dampness heat toxin and blood stasis, liver depression and spleen deficiency", and the pathological evolution rule is "liver disease passes on to spleen, liver and spleen have the same disease, the more deficiency the deficiency is, the more excess the excess is";Professor LV Zhi-ping put forward the academic point of view that "treating liver and gallbladder diseases should soothing liver and strengthening spleen, regulating the Qi activity, and the treatment principle is" liver and gallbladder soothing, spleen tonifying, detoxification and stasis removing through the whole process of treatment ". Its clinical experience in the diagnosis and treatment of liver cirrhosis after hepatitis B is reflected in the medical records of the disease, and has achieved good results.

关 键 词：乙型肝炎后肝硬化 疏肝健脾 肝脾同病 解毒化瘀 吕志平 

分 类 号：R183.4[医药卫生—流行病学]