程良斌治疗胆汁淤积性肝病相关瘙痒症的临床经验  

Cheng Liangbin’s clinical experience in the treatment of pruritus associated with cholestatic liver disease

作　　者：王杰 周涛[2] 喻凯凯 程良斌[3] 蔡岳[3] WANG Jie;ZHOU Tao;YU Kaikai;CHENG Liangbin;CAI Yue(Medical School,Hubei Minzu University,Hubei Province,Enshi 445000,China;Department of Liver Disease,Hubei Provincial Hospital of Traditional Chinese Medicine,Hubei Province,Wuhan 430061,China;Department of Gastroenterology,Huanggang Hospital of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Hubei Province,Huanggang 438000,China)

机构地区：[1]湖北民族大学医学部,湖北恩施445000 [2]湖北省中医院肝病科,湖北武汉430061 [3]湖北中医药大学附属黄冈市中医医院脾胃病科,湖北黄冈438000

出　　处：《中国医药导报》2024年第24期155-158,共4页China Medical Herald

基　　金：湖北省中医药管理局中医药科研青年人才项目(ZY2023Q026)。

摘　　要：现代医学对胆汁淤积性肝病诊疗方案日趋成熟,但对其并发症即胆汁淤积性肝病相关瘙痒症还在探索中,由于缺少特效药物治疗,胆汁淤积性肝病相关瘙痒症临床收效欠佳。程良斌教授长期从事中西医结合肝病治疗工作,在治疗中总结经验,认为胆汁淤积性肝病相关瘙痒症病因包括血热生风、湿热相搏、血虚风燥和瘀血阻络,主要病机为气血失和、生风化燥。治疗中程教授采用内外同治法,内治主张分期论治,强调化瘀祛风的重要性;同时善用解郁安神法改善患者因瘙痒导致的焦虑、失眠等精神类问题。外治则采用中药熏洗,根据瘙痒不同症状及体征临证选方,取得较好的临床疗效。Modern medicine is becoming more and more mature in the diagnosis and treatment of cholestatic liver disease,but its complication,pruritus associated with cholestatic liver disease,is still being explored,and due to the lack of specific drug treatment,clinical results of pruritus associated with cholestatic liver disease are not good.Professor Cheng Liangbin has long been engaged in the treatment of liver disease by combining traditional Chinese medicine and western medicine,and summarizes his experience in the treatment of the disease.He believes that the causes of pruritus associated with cholestatic liver disease include blood-heat generating wind,dampness and heat fighting,blood deficiency and wind-dryness,blood stasis blocking collaterals,and that the main mechanism of the disease is the loss of harmony between qi and blood and the generating of wind and dryness.In the treatment,Professor Cheng adopts both internal and external treatments.The internal treatment advocates staged treatment and emphasizes the importance of resolving blood stasis and dispelling wind;at the same time,he makes good use of the method of relieving depression and tranquilizing spirit to improve the patient’s anxiety,insomnia and other psychiatric problems due to itchiness.The external treatment is to use traditional Chinese medicine fumigation,according to different symptoms and signs of itching to select prescription,and achieves better clinical efficacy.

关 键 词：胆汁淤积性肝病 瘙痒症 临床经验 中医药 

分 类 号：R256.4[医药卫生—中医内科学]