刘凤斌治疗胆石症经验  

Liu Fengbin's Experience in Treating Cholelithiasis

作　　者：雍秋红 黄超原 陈幽兰 郑逸远 彭冲 赵利娜[2] 刘凤斌(指导)[2,4] YONG Qiuhong;HUANG Chaoyuan;CHEN Youlan;ZHENG Yiyuan;PENG Chong;ZHAO Lina;LIU Fengbin(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Baiyun Hospital of the First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510470 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405 [3]上海中医药大学附属市中医医院,上海200071 [4]广州中医药大学第一附属医院白云医院,广东广州510470

出　　处：《广州中医药大学学报》2025年第1期219-224,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:82104549,82204834,82004305);中国博士后科学基金面上项目(编号:2021M700960,2020M672603,2020M682686);广东省中医药局科研项目(编号:20221145);广东省中医药重点学科建设项目(编号:08002011007)。

摘　　要：中药排石为治疗胆石症的方法之一。刘凤斌教授认为,外邪侵袭、饮食不节、情志失调为胆石症的主要病因,肝胆气滞、湿热内阻为胆石症的主要病机,其发病与脾胃虚弱及痰浊、瘀血等病理因素密切相关;胆石症的中药治疗遵循“三因制宜”的原则。刘凤斌教授衷中参西,擅于运用岭南药材和能溶石排石的特色药材,治法以疏肝解郁、清热祛湿、利胆排石为主,健脾益气、理气化痰、行气活血为辅;常运用大柴胡汤合四金汤化裁为底方治疗胆石症,主要组成药物包括广金钱草、鸡内金、柴胡、郁金、黄芩、木香、麸炒枳实、赤芍、乌药、大黄。Chinese medicine therapy for removing gallstones is one of the methods for the treatment of cholelithiasis.In the view of Professor Liu Fengbin,attacking of external pathogens,improper diet and emotional disorders contribute to the main causes of cholelithiasis,and the pathogenesis of cholelithiasis is due to qi stagnation of both liver and gallbladder,and internal obstruction of damp-heat.The occurrence of cholelithiasis is closely related to deficiency of spleen and stomach,and is correlated with the pathological factors of turbid phlegm and blood stasis.For the Chinese medicine treatment of cholelithiasis,Professor Liu follows the principle of“treatment in accordance with three categories of etiological factors”(i.e,seasons,environment and body constitution).He advocates the integration of traditional Chinese medicine and western medicine,and is good at utilizing Lingnan herbs and distinctive herbs that can dissolve stones and remove stones.The treatment for cholelithiasis is mainly through the therapies of soothing liver and alleviating depression,clearing heat and removing dampness,and normalizing gallbladder function to remove stones,and is also supplemented by the therapies of invigorating spleen and replenishing qi,regulating qi to resolve phlegm,and activiting qi movement and blood circulation.Modified Da Chaihu Decoction plus Sijin Decoction is often used as a basic formula for treating cholelithiasis,which is mainly composed of Desmodii Styracifolii Herba,Galli Gigerii Endothelium Corneum,Bupleuri Radix,Curcumae Radix,Scutellariae Radix,Aucklandiae Radix,Aurantii Fructus Immaturus stir-fried with bran,Paeoniae Radix Rubra,Linderae Radix,and Rhei Radix et Rhizoma.

关 键 词：胆石症 疏肝解郁 清热祛湿 利胆排石 大柴胡汤 四金汤 刘凤斌 

分 类 号：R256.49[医药卫生—中医内科学]