基于“肝与大肠相通”理论从肠论治非酒精性脂肪性肝病  

Treatment of Nonalcoholic Fatty Liver Disease from Intestine Based on“Connecting Liver and Large Intestine”Theory

作　　者：林育群 杨正宁 童凌 高艺婷 陈浩[1] 李喜乐 张海鸥[1] LIN Yuqun;YANG Zhengning;TONG Ling;GAO Yiting;CHEN Hao;LI Xile;ZHANG Haiou(Second People s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350000,China;Zhangzhou Traditional Chinese Medicine Hospital,Zhangzhou 363000,China;Fujian Provincial Elderly Hospital,Fuzhou 350000,China)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350000 [2]漳州市中医院,福建漳州363000 [3]福建省老年医院,福建福州350000

出　　处：《陕西中医药大学学报》2025年第2期44-48,共5页Journal of Shaanxi University of Chinese Medicine

基　　金：中国中医科学院科技创新工程学部委员学术传承与传播专项课题(CI2022E017XB)。

摘　　要：立足“肝与大肠相通”理论,阐述肝与大肠在脏腑、气血、经络、五行等方面的密切关系,提出非酒精性脂肪性肝病(non-alcoholic fatty liver disease,NAFLD)病机以肝肠气机失调为基础,以湿热痰瘀内结为关键,主张从肠分阶段论治NAFLD,早期方拟小柴胡汤着重畅通肠肝气机,中期予茵陈蒿汤以通便清化湿热,后期肝癌、肝硬化者则在二方基础上随症加减。The research content mainly elaborates the close relationship between the liver and the large intestine in the aspects of Zang-Fu organs,Qi and blood,channels and five elements through the theory of“communication between the liver and the large intestine”,and proposes that the pathogenesis of non-alcoholic fatty liver disease(NAFLD)is based on the disorder of the liver-intestinal Qi activity,and the key lies in dampness-heat and phlegm stasis.In the early stage,Xiaochaihu decoction should focus on the obstruction of intestinal liver-Qi activity,and in the middle stage,Yinchenhao decoction should be used to relieve dampness-heat.In the late stage,patients with liver cancer and cirrhosis should increase and decrease with the disease.

关 键 词：肝与大肠相通 从肠论治 非酒精性脂肪性肝病 肝肠互助 肝肠气机失调 

分 类 号：R259[医药卫生—中西医结合]