杨震教授运用“相火学说”治疗阴虚相火肝硬化腹水临床经验  

Professor YANG Zhen’s Clinical Experience in Treating Ascites Due to Liver Cirrhosis with Yin Deficiency and Minister Fire Type by Minister Fire Theory

作　　者：石磊 郝建梅 袁超 毛明华 李知强 杨震 SHI Lei;HAO Jianmei;YUAN Chao;MAO Minghua;LI Zhiqiang;YANG Zhen(Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710300,China)

机构地区：[1]西安市中医医院,陕西西安710300

出　　处：《陕西中医药大学学报》2021年第3期26-30,共5页Journal of Shaanxi University of Chinese Medicine

基　　金：国家中医药管理局全国名中医传承工作室建设项目杨震全国名中医传承工作室项目(国中医药办人教函[2018]119号);陕西省中医学术流派传承工作室建设项目黄元御长安学术流派传承工作室项目(陕中医药发[2018]40号)。

摘　　要：杨震教授在肝病的临床辨治中,创新性应用"相火学说"的观点,把肝病所产生的局部内生火热按"病理相火"这一理论去研究,补充了对肝病的病机认识思路。肝硬化失代偿期,可出现水瘀互结证,属中医"鼓胀"范畴。其病因多为情志所伤、酒食不节或感受疫毒,或由其他病证转化引起肝、脾、肾三脏功能失调,导致气滞、血瘀、水饮停留腹中。肝体阴而用阳,阳常有余而阴常不足,故肝肾阴虚往往为本病晚期的发展趋势,瘀毒互结,相火灼伤阴精,导致阴虚内热、水瘀互结为主要病机所在,也是变生他证的中心环节。通过介绍杨震教授运用"相火学说"治疗阴虚相火肝硬化腹水临床经验及典型医案,体会"相火学说"在肝病诊治中应用的临床思维。Professor YANG Zhen creatively applied the viewpoint of "Minister fire theory" in the clinical differentiation and treatment of liver diseases, and studied the local endogenous fire heat produced by liver diseases according to the theory of "pathological minister fire", which supplemented the understanding of the pathogenesis of liver diseases. In the decompensated stage of liver cirrhosis, a large amount of ascites with water and blood stasis syndrome may appear, which belongs to the category of "Gu Zhang" in traditional Chinese medicine. The etiology of the disease is mostly emotional injury, improper drinking and eating, or feeling epidemic toxin, or caused by the transformation of other diseases and syndromes, resulting in dysfunction of liver, spleen and kidney, resulting in Qi stagnation, blood stasis and water retention in the abdomen. Yin deficiency of liver and kidney is the development trend in the late stage of the disease. The main pathogenesis of the disease is Yin deficiency and internal heat, water and blood stasis. The purpose of this paper is to introduce Professor YANG Zhen’s clinical experience and typical medical records in treating ascites due to liver cirrhosis with Yin deficiency and minister fire, and to understand the clinical thinking of minister fire theory in the diagnosis and treatment of liver diseases.

关 键 词：相火学说 肝硬化腹水 鼓胀 肝肾阴虚 杨震 

分 类 号：R256.42[医药卫生—中医内科学]