孙克伟辨治乙型肝炎相关肝衰竭经验  

SUN Kewei's Experience in Diagnosis and Treatment of Hepatitis B-related Liver Failure

作　　者：钟航宇 张涛 孙克伟[2] ZHONG Hangyu;ZHANG Tao;SUN Kewei(Hunan University of Chinese Medicine,Hunan Changsha 410000,China;The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan Changsha 410000,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410000 [2]湖南中医药大学第一附属医院,湖南长沙410000

出　　处：《中医药临床杂志》2025年第1期95-98,共4页Clinical Journal of Traditional Chinese Medicine

基　　金：第七批全国名老中医药专家学术经验继承项目(湘财社指〔2022〕29号)。

摘　　要：乙型肝炎相关肝衰竭病情进展快,病死率高,中西医结合治疗有助于延缓病情进展,改善临床症状。孙克伟教授认为,乙型肝炎相关肝衰竭,总属虚实夹杂,中焦脾虚、肝肾阴虚为该病发生发展的根本原因,瘀血阻滞为该病的主要致病因素,“湿毒瘀虚”是其主要病机,擅长用清热利湿法、活血解毒化瘀法及温法治疗肝衰竭。Hepatitis B-related liver failure progresses rapidly and has a high mortality rate.Combination of Chinese and Western medicine can help slow down the progression of the disease and improve clinical symptoms.Professor Sun Kewei believes that hepatitis B-related liver failure is always a mixture of deficiency and excess.Deficiency of the spleen in the middle jiao and deficiency of liver and kidney yin are the fundamental causes of the disease.Blood stasis is the main pathogenic factor of the disease.“Dampness,toxicity,blood stasis and deficiency”is its main pathogenesis.He is good at using heat-clearing and dampness-promoting methods,blood-activating,detoxifying and blood-stasisremoving methods,and warming methods to treat liver failure.

关 键 词：乙型肝炎相关肝衰竭 名医经验 孙克伟 阴阳黄 温法 

分 类 号：R256.41[医药卫生—中医内科学] R575.3[医药卫生—中医学]