从《内经》“肝传之脾”论治黄疸型病毒性肝炎  

The"Liver to Spleen"Theory of the Yellow Emperor's Classic of Internal Medicine Provides Insights into the Treatment of Jaundiced Viral Hepatitis

作　　者：郑小梅 胡振斌[2] 谢婷婷 ZHENG Xiaomei;HU Zhenbin;XIE Tingting(Guangxi University of Chinese Medicine Graduate School,Nanning 530000,Guangxi,China;First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530022,Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530000 [2]广西中医药大学第一附属医院,广西南宁530022

出　　处：《实用中医内科杂志》2025年第3期61-63,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：国家科技重大专项(2018ZX10725505-002);国家中医药管理局慢性重型肝炎解毒化瘀重点研究室项目(2019-005)。

摘　　要：黄疸型病毒性肝炎病机以湿热内蕴中焦最常见,病位多定位在脾胃,最早《内经》中阐述了“肝传之脾”的理论,认为黄疸的发生发展与脾胃相关,文章通过这一理论角度来探讨黄疸型病毒性肝炎的诊疗思路与治疗方法,主要从该病的病因、病机、病位、论治等方面来进行阐述,得出了治疗该病时,要注重顾护脾胃的分治来治疗黄疸型病毒性肝炎,以期为中医药临床应用更好地指导临床实践。Jaundice viral hepatitis,whose pathogenesis is mostly located in the middle jiao with internal dampness and heat,is mostly located in the spleen and stomach,and the earliest"Nei Jing"elaborates the theory of"the spleen transmitted by the liver",which believes that the occurrence and development of jaundice are related to the spleen and stomach,and discusses diagnostic and treatment ideas of jaundice viral hepatitis from this theory,mainly focusing on the etiology,pathogenesis,location and treatment of this disease,to provide a better clinical application of Chinese medicine.The main aspects of this disease are the etiology,pathogenesis,location and treatment,and it is concluded that in treating this disease,attention should be paid to the spleen and stomach,and jaundice viral hepatitis should be treated,to better guide clinical practice for the clinical application of traditional Chinese medicine.

关 键 词：病毒性肝炎 黄疸 中医 病因病机 辨证论治 肝病治脾 

分 类 号：R256.4[医药卫生—中医内科学]