刘光伟基于龙雷之火理论辨治自身免疫性肝炎经验  

Liu Guangwei′s Experience of in Treating Autoimmune Hepatitis Based on Theory of Long Lei Fire

作　　者：崔健娇[1,2] 张丽慧[1] 刘光伟[1] CUI Jianjiao;ZHANG Lihui;LIU Guangwei(The First Affiliated Hospital to Henan University of Chinese Medicine,Zhengzhou Henan China 450000;Henan University of Chinese Medicine,Zhengzhou Henan China 450046)

机构地区：[1]河南中医药大学第一附属医院,河南郑州450000 [2]河南中医药大学,河南郑州450046

出　　处：《中医学报》2025年第4期853-857,共5页Acta Chinese Medicine

基　　金：河南省中医药科学研究专项课题项目(2024ZY3034);河南省第二批中医药青苗人才培养项目[豫卫中医函(2021)16号]。

摘　　要：“龙雷之火”为病理之火,源于相火妄动而致肝肾内生虚火,属阴火范畴。自身免疫性肝炎病位在肝,核心病机是肝脾肾亏虚,内酿痰湿瘀浊,湿邪诱发相火妄动而发病,与龙雷之火上炎密切相关。自身免疫性肝炎发病分三个阶段,早期脾虚生湿,中期肝肾阴虚,晚期脾肾阳虚,这三个阶段都与龙雷之火密切相关,黄疸、胁痛、臌胀、血证等是龙雷之火的外候。刘光伟教授基于龙雷之火辨治自身免疫性肝炎,根据病情分阶段使用健脾祛湿、以消阴翳,滋阴潜阳、导龙入海,温阳散寒、引龙入水等治法,治疗自身免疫性肝炎疗效显著。"Long Lei Fire"is the Fire of pathology,which is originated from the Xiang Fire.This Fire is the Liver and Kidney generated deficiency Fire and belongs to the category of Yin Fire.Autoimmune hepatitis is in the Liver,and the core pathogenesis is the deficiency of the Liver,Spleen and Kidney,with Phlegm,Dampness,blood stasis and Turbidity in the Three Zang.The Dampness induces the Xiang Fire to act rashly and develops,which is closely related to the up inflammation of the Long Lei Fire.Autoimmune hepatitis pathogenesis can be divided into three stages:Spleen deficiency induced Dampness in early stage,Liver and Kidney Yin deficiency in middle stage and Spleen and Kidney Yang deficiency in late stage.These three stages are closely related to Long Lei Fire,with which jaundice,hypochondriac pain,tympanites and blood syndrome are the external symptoms.Prof.Liu Guangwei treats autoimmune hepatitis based on the theory of Long Lei Fire and uses the treatment methods of strengthening the Spleen and dispelling Dampness to eliminate Yin excess,nourishing Yin,and submerging Yang to Lead the Long into the Sea as well as warming the Yang and dispersing Cold to guide the Long into the Water by stages.In this way,the treatment of autoimmune hepatitis is highly effective.

关 键 词：自身免疫性肝炎 分阶段论治 龙雷之火理论 刘光伟 

分 类 号：R256.49[医药卫生—中医内科学]