试从“肝体阴用阳”理论探讨慢性药物性肝损伤治疗  

Discussion on Treatment of Chronic Drug-Induced Liver Injury Based on Theory of"Ti Yin Yong Yang of Liver"

作　　者：庞浡仚 王秋虹[2] 魏军平[2] PANG Boxian;WANG Qiuhong;WEI Junping(Beijing University of Chinese Medicine,Beijing China 100029;Guang′anmen Hospital Affiliated to Chinese Academy of Chinese Medicine,Beijing China 100053)

机构地区：[1]北京中医药大学,北京100029 [2]中国中医科学院广安门医院,北京100053

出　　处：《中医学报》2023年第1期15-19,共5页Acta Chinese Medicine

基　　金：国家自然科学基金项目(81904048);中国科协青年人才托举项目(2019QNRC001);中国中医科学院优秀青年科技人才培养专项基金项目(ZZ14-YA-010);中国中医科学院科技创新工程项目(CI2021A01612);北京市中医药科技发展资金专项研究项目(JCZX-2020-09)。

摘　　要：“肝体阴用阳”是以津液为体,以气为用。慢性药物性肝损伤的主要病机是肝体用俱损。运用疏肝法治疗慢性药物性肝损伤肝气运行不畅时,需要在补益肝气肝阴的养肝法基础上进行。疏肝法使肝用恢复,气阴不再内耗,养肝补而不滞,防止补养无效;养肝法补益气阴,从根源上阻断“肝虚祟邪恶性循环圈”,使疏肝得动力的源泉,防止气阴耗伤。养肝法和疏肝法相互结合为“养肝疏肝法”,是治疗慢性药物性肝损伤的基本大法。"Ti Yin Yong Yang of Liver"means body fluid is the physical system and Qi is the function of Liver.The main pathogenesis of chronic drug-induced liver injury is the damage of the both.When the method of soothing the Lver is used to treat chronic drug-induced Liver injury,it needs to be carried out on the basis of the method of both nourishing the Liver Qi and Liver Yin.The Liver soothing method can restore the Liver Qi function,including eliminating the internal consumption of Qi and Yin and nourishing Liver Qi to relieve stagnation,so as to prevent the ineffectiveness of nourishment.The method of nourishing the Liver can replenish Qi and Yin to fundamentally block the"vicious circle of Liver defidiency and Evil Factors",make it the source of power for soothing the Liver,and prevent Qi and Yin from being damaged.The method of nourishing the Liver and the method of soothing the Liver are combined to form the"method of nourishing and soothing the Liver".It is a basic method to treat chronic drug-induced Liver injury.

关 键 词：慢性药物性肝损伤 肝体阴用阳 养肝法 疏肝法 

分 类 号：R259.25[医药卫生—中西医结合]