周小舟基于肝脾同调治疗非酒精性脂肪肝经验  

ZHOU Xiao-Zhou’s Experience in Treating Non-Alcoholic Fatty Liver Disease Based on the Therapeutic Principle of Treating Liver and Spleen Simultaneously

作　　者：马梦情 黄琦 韩志毅[2] 胡锐 吕敏玲 孙新锋[2] 张卫[2] 周小舟(指导)[2] MA Meng-Qing;HUANG Qi;HAN Zhi-Yi;HU Rui;LYU Min-Ling;SUN Xin-Feng;ZHANG Wei;ZHOU Xiao-Zhou(Advisor)(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518033 Guangdong,China)

机构地区：[1]广州中医药大学第四临床医学院,广东广州510006 [2]深圳市中医院,广东深圳518033

出　　处：《广州中医药大学学报》2023年第3期732-735,共4页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：深圳市科技计划项目(编号:JCYJ20170817094901026,JCYJ20210324120405015);广东省中医药局科研项目(编号:20202152)。

摘　　要：非酒精性脂肪肝(non-alcoholic fatty liver disease,NAFLD)可归属中医学的“肝癖”范畴,其病位在肝。NAFLD的病因与患者饮食结构改变、缺乏运动等有关。周小舟主任医师结合多年临证经验并结合中医经典理论,基于中医整体观提出了肝脾同调结合形气并治以治疗NAFLD的思路,认为NAFLD的病机以脾虚为本,郁、湿、瘀为标;其治疗以调畅气机为要,顾护脾胃为本,可采用塞源(调适饮食)减脂、实脾疏肝等治法,用药以香砂六君子汤加减。Non-alcoholic fatty liver disease(NAFLD)can be classified as“stuffy lump of the liver”in the field of traditional Chinese medicine and the disease involves the liver. The etiology of NAFLD is related to the changes in patients’ diet and lack of exercise. Based on years of clinical experience and by inheriting the classic theory of traditional Chinese medicine, chief physician ZHOU Xiao-Zhou proposed the idea of treating NAFLD by simultaneous regulation of liver and spleen combined with simultaneous treatment of physique and qi following the holistic concept of traditional Chinese medicine. Chief physician ZHOU believes that the pathogenesis of NAFLD is characterized by spleen deficiency as the fundamental cause,while stagnation,dampness and blood-stasis are the incidental factors. The treatment of NAFLD is based on regulating qi movement and preventing the spleen and stomach. Therapies of stuffing the source(adjusting the diet)to reduce fat and strengthening spleen and soothing liver can be performed,and modified Xiangsha Liujunzi Decoction can be adopted.

关 键 词：非酒精性脂肪肝 肝脾同调 形气并治 香砂六君子汤 周小舟 

分 类 号：R256.4[医药卫生—中医内科学]