从“肝体阴而用阳”理论辨治急性肝损伤探析  

Analysis of the Treatment of Acute Liver Injury Based on the Theory of"Liver Essence Yin and Function Yang"

作　　者：王承祥 吕雅璇 孟鹏 刘泽 高彩霞 程雪云 刘静璇 侯爱画 Wang Chengxiang;LüYaxuan;Meng Peng;Liu Ze;Gao Caixia;Cheng Xueyun;Liu Jingxuan;Hou Aihua(Shandong Traditional Chinese Medicine University,Shandong,Jinan 250355,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]天津体育学院,天津303617 [3]山东省烟台市中医医院,山东烟台264001

出　　处：《中国中医急症》2024年第8期1369-1372,1381,共5页Journal of Emergency in Traditional Chinese Medicine

基　　金：第七批全国老中医药专家学术经验继承项目(国中医药人教函[2022]76号);国家中医药管理局科技司共建科技项目(GZY-KJS-SD-2023-013);全国名老中医药专家传承工作室(国中医药人教函[2018]134号);山东省名老中医药专家传承工作室(鲁卫函[2019]92号);山东省中医药科技项目(Q-2023109)。

摘　　要：目前,肝病在我国发生率居高不下,肝损伤作为各种肝病共有的一种病理状态,严重危害人类健康。现代医学常予以保肝、退黄、调脂等治疗。随着近年对中药成分的不断开发,诸多中药展现出保肝优势,并被广泛应用于肝病的治疗当中。本文通信作者侯爱画教授基于“肝体阴而用阳”理论,肝脏中以肝血为体,肝气为用,提出治疗急性肝损伤的过程应养肝血与疏肝气并行,针对湿、热、毒、瘀等致病因素,予以清热利湿、化浊解毒、活血化瘀之法,同时不忘补益脾肾二脏,以治疗多种原因所致的急性肝损伤。At present,the incidence of liver disease remains high in China,with liver injury,as a common pathological state among various liver diseases,posing a serious threat to human health.Western medicine frequently employs liver protection,jaundice relief,and lipid-lowering treatments,which not only exhibit significant adverse reactions but also yield unsatisfactory efficacy.With recent advancements in the development of herbal components,numerous traditional Chinese medicines have demonstrated hepatoprotective advantages and have been widely applied in the treatment of liver diseases.The corresponding author of this paper,Professor Hou Aihua,based on the the theory of“yin in property and yang in function of liver”,which takes liver blood as the body and liver Qi as the use,proposed that nourishing liver blood and soothing liver qi should be combined in the treatment of acute liver injury.In view of the pathogenic factors such as dampness,heat,toxicity and stasis,the methods of clearing heat and dampness,dissolving turbidity and detoxification,and promoting blood circulation and removing blood stasis are given,and at the same time,the spleen and kidney and are not forgotten to nourish the spleen and kidney organs,and treat acute liver injury caused by various reasons.

关 键 词：急性肝损伤 肝功能不全 肝体阴而用阳 中药 

分 类 号：R575.5[医药卫生—消化系统]