金实教授治疗慢性肝病药组经验撷英  

Professor Jinshi’s experience in treating chronic liver disease

作　　者：陈权 孙丽霞 周楠[2] 杨皓然 刘丽娜 史会连 CHEN Quan;SUN Lixia;ZHOU Nan;YANG Haoran;LIU Li’na;SHI Huilian(Department of Infectious Diseases,Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing 210029,China;Department of Encephalopathy,the Second Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province,Nanjing 210017,China)

机构地区：[1]南京中医药大学附属医院感染科,江苏南京210029 [2]南京中医药大学第二附属医院脑病科,江苏南京210017

出　　处：《中国医药导报》2021年第19期126-129,共4页China Medical Herald

基　　金：国家自然科学基金青年科学基金项目(81603578);江苏省中医临床优秀人才研修项目(苏中医科教〔2017〕18号)。

摘　　要：慢性肝病是指肝脏受到慢性持续性损伤后出现的一组临床常见疾病。金实教授在大量的临床实践中总结出针对其不同病证特点的各类药组,将女贞子、连翘、麦冬、白术配伍降低谷草转氨酶;鸡骨草、蒲公英、夏枯草、五味子配伍降低谷丙转氨酶;柴胡、枳壳、橘络、姜黄配伍降低碱性磷酸酶与γ-谷氨酰转肽酶;土茯苓、黄柏、虎杖、紫草配伍降低慢性乙型病毒性肝炎病毒量;白术、泽泻、决明子、山楂配伍治疗非酒精性脂肪肝,临床疗效显著。笔者对其进行初步总结,另附医案一则进行探讨论证,以期丰富慢性肝病的临床诊疗思路。Chronic liver disease refers to a group of clinically common diseases after chronic persistent liver injury.Professor Jinshi summarizes various drug groups according to the characteristics of different diseases and syndromes in a large number of clinical practices:combined Ligustri Lucidi Fructus,Forsythiae Fructus,Ophiopogonis Radix and Atractylodis Macrocephalae Rhizoma to reduce aspartate transaminase;combined Abri Herba,Taraxaci Herba,Prunellae Spica and Schisandrae Chinensis Fructus to reduce alanine transaminase;combined Bupleuri Radix,Aurantii Fructus,Tangerine Pith and Curcumae Longae Rhizoma to reduce alkaline phosphatase andγ-glutamyl transpeptidase;combined Smilacis Glabrae Rhizoma,Phellodendri Chinensis Cortex,Polygoni Cuspidati Rhizoma et Radix and Arnebiae Radix to reduce the amount of chronic viral hepatitis B virus;combined Atractylodis Macrocephalae Rhizoma,Alismatis Rhizoma,Cassiae Semen and Crataegi Fructus to treat nonalcoholic fatty liver disease,and the clinical effect is remarkable.In order to enrich the clinical diagnosis and treatment of chronic liver disease,the author makes a preliminary summary and attached a medical case.

关 键 词：慢性肝病 药组 临床经验 金实 

分 类 号：R256.4[医药卫生—中医内科学]