国医大师王晞星分期论治失代偿期肝硬化黄疸经验  

Wang Xixing's experience in staged treatment of decompensated cirrhosis jaundice

作　　者：房致永 石智尧 高宇[1] 刘懿婵 王晞星[1] FANG Zhiyong;SHI Zhiyao;GAO Yu;LIU Yichan;WANG Xixing(Shanxi Institute of Traditional Chinese Medicine,Taiyuan 030012,China;Shanxi University of Chinese Medicine,Taiyuan 030024,China)

机构地区：[1]山西省中医药研究院,太原030012 [2]山西中医药大学,太原030024

出　　处：《长春中医药大学学报》2025年第2期139-143,共5页Journal of Changchun University of Chinese Medicine

基　　金：第四届国医大师传承工作室(国中医药办人教函[2022]245号1123-04);国家中医药传承创新中心的建设(202203);山西省中医临床医学研究中心(培育)(晋科社发[2019]61号);山西省卫健委山西省医学科技创新团队项目(2020TD04);山西省卫健委山西省医学重大科技攻关专项(2022XM10)。

摘　　要：失代偿期肝硬化黄疸可归为祖国医学“黄疸病”范畴。王晞星认为,肝、胆、脾失调是其发病之根,湿、热、瘀、毒互结是其发病关键,主张分期辨治、灵活用药,辨病与辨证相结合,将其病程分为黄疸期、消退期及恢复期,黄疸期多以驱邪、退黄为主,治以疏肝利胆、清热利湿,消退期宜疏肝健脾兼顾利湿退黄,恢复期宜健脾益气、顾护中焦,并创制及灵活运用柴胡泄热汤、逍遥散加减、香砂六君子汤加减作为肝硬化黄疸不同时期的基础方,广泛应用于临床,疗效佳,值得临床推广。Decompensated cirrhosis jaundice can be classified as"jaundice disease"in traditional Chinese medicine.Professor Wang Xixing believes that the imbalance of the liver,gallbladder,and spleen is the root cause of its onset,while the combination of dampness,heat,stasis,and toxicity is the key to its onset.Professor Wang advocates staged treatment based on syndrome differentiation,flexible medication,and combination of disease differentiation and syndrome differentiation.Professor Wang divides the course of the disease into the jaundice stage,the regression stage,and the recovery stage;During the jaundice stage,the primary treatments are to expulse pathogen and eliminate jaundice,and treatment should focus on dispersing stagnated liver qi for promoting bile flow,and clearing heat and promoting diuresis;During the regression stage,it is advisable to disperse stagnated liver qi and invigorate spleen while also promoting diuresis and eliminating jaundice;During the recovery stage,it is advisable to strengthen spleen and replenish qi,and take care of middle jiao.Professor Wang creates and flexibly applies Chaihu Xiere decoction,modified Xiaoyao San,and modified Xiangsha Liujunzi decoction as the basic prescriptions for different stages of liver cirrhosis jaundice,which is widely used in clinical prractice with good therapeutic effects and worthy of clinical promotion.

关 键 词：失代偿期肝硬化黄疸 分期论治 王晞星 

分 类 号：R657.3[医药卫生—外科学]