基于“治肝实脾”探讨汪美霞治疗肝豆状核变性合并脂肪肝经验  

Experience of WANG Meixia in Treating Fatty Liver with Hepatolenticular Degeneration Based on the Theory of"Treating Liver and Tonifying Spleen"

作　　者：杨苹苹 汪美霞[2] 曹畅畅 陶庄 杜姜 YANG Pingping;WANG Meixia;CAO Changchang;TAO Zhuang;DU Jiang(The First Clinical Medical College of Anhui University of Chinese Medicine,Hefei 230031,China;Department of Brain Disease,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)

机构地区：[1]安徽中医药大学第一临床医学院,合肥230031 [2]安徽中医药大学第一附属医院,合肥230031

出　　处：《江西中医药大学学报》2025年第2期24-26,31,共4页Journal of Jiangxi University of Chinese Medicine

基　　金：青年岐黄学者培养项目(国中医药人教函[2022]256号);国家中医药传承创新中心项目(发改办社会[2022]366号);国家自然科学基金项目(81973825);安徽省高校科研重点项目(2023AH050765,2023AH050798)。

摘　　要：脂肪肝是肝豆状核变性常见合并症之一,如干预不及时可演变为肝纤维化、肝硬化甚至肝癌,早期且有效的干预措施对提高患者生活质量具有重要临床意义。汪美霞认为,脾虚贯穿于肝豆状核变性合并脂肪肝发生发展全过程,脾虚失运是发病的关键。以“治肝实脾”理论为指导,结合临证实践经验提出“实脾”可截断肝病传变环节,防止肝病进展演化。Fatty liver is one of the common comorbidities of hepatolenticular degeneration.If not intervened in time,it can evolve into liver fibrosis,cirrhosis,and even liver cancer.Early and effective intervention measures are of great clinical significance for improving the quality of life of patients.WANG Meixia believes that spleen deficiency runs through the entire process of the occurrence and development of this disease,and spleen deficiency is the key to its onset.Guided by the theory of"treating liver and tonifying spleen"and combined with clinical practice experience,WANG Meixia proposed that"tonifying spleen"can cut off the transmission and transformation of liver diseases,and prevent the progression and evolution of liver diseases.

关 键 词：肝豆状核变性 脂肪肝 治肝实脾 脾虚 名医经验 

分 类 号：R259[医药卫生—中西医结合]