尹燕耀教授从伏邪论治乙肝肝硬化经验体会  

Professor Yin Yanyao’s experience in treating hepatitis B cirrhosis from the perspective of Fuxie

作　　者：潘沙沙 尹燕耀 林晖明 马恩奇 PAN Shasha;YIN Yanyao;LIN Huiming;MA Enqi(Hepatology Department,Shenzhen Hospital of Shanghai University of Traditional Chinese Medicine,Guangdong,Shenzhen 518009,China)

机构地区：[1]上海中医药大学深圳医院肝病科,广东深圳518009

出　　处：《中国医药科学》2025年第3期127-130,共4页China Medicine And Pharmacy

基　　金：广东省深圳市罗湖区软科学研究项目(LX202202016)。

摘　　要：伏邪理论为临床上疑难杂病及流行性传染病的诊疗提供了新的思路。在中医学中,伏邪致病具有起病隐匿、感而后发、慢性进展等特点。乙肝病毒被视为一种疫毒之邪,当疾病未能得到早期干预时,乙肝病毒会持续攻击肝细胞,导致肝脏慢性炎症,并可能进一步发展为肝硬化。整个发病过程充分体现了伏邪的特征。乙肝肝硬化因其治疗难度大、疾病预后差,成为临床上棘手的疾病之一。通过跟随省名中医尹燕耀教授学习,深刻体会到尹燕耀教授在治疗乙肝肝硬化时,常从伏邪理论出发,探讨乙肝肝硬化的病因、病机及治疗法则。本文列举了一则临床典型案例,希望能为读者在临床工作中提供参考与借鉴。The theory of Fuxie provides new ideas for the diagnosis and treatment of difficult and miscellaneous diseases as well as infectious diseases in clinical practice.In traditional Chinese medicine,pathogenic factors caused by Fuxie have the characteristics of insidious onset,delayed onset,and chronic progression.Hepatitis B virus is regarded as an epidemic Xie.When the disease is not early intervened,hepatitis B virus will continue to attack the liver cells,leading to chronic inflammation of the liver,and may further develop into cirrhosis.The entire onset process fully embodies the characteristics of Fuxie.Hepatitis B cirrhosis has become one of the thorny diseases in clinic because of its difficult treatment and poor prognosis.By learning from Professor Yin Yanyao,a famous provincial TCM doctor,I have deeply realized that Professor Yin Yanyao often starts from the theory of Fuxie when treating hepatitis B cirrhosis and explores the etiology,pathogenesis and treatment of hepatitis B cirrhosis.This article listed a typical clinical cases,hoping to provide readers with reference and inspiration in clinical work.

关 键 词：伏邪 乙肝肝硬化 经验体会 医案 

分 类 号：R259[医药卫生—中西医结合]