陈文慧教授基于“脾虚血瘀”辨治胆结石经验采撷  

Experience of Professor Chen Wenhui in Treating Gallstones Based on the Theory of “Spleen Deficiency and Blood Stasis”

作　　者：李宗选 吕姝瑶 石楚溪 钱格晰 陈文慧 

机构地区：[1]云南中医药大学第一临床医学院,云南 昆明 [2]云南中医药大学第一附属医院,云南 昆明

出　　处：《中医学》2025年第3期1021-1025,共5页Traditional Chinese Medicine

摘　　要：介绍陈文慧教授基于“脾虚血瘀”理论治疗胆结石的临床经验。胆结石多因情志不调、饮食失度、虫邪内扰及劳伤过度所致。陈文慧教授基于“因虚致瘀”理论,认为“脾虚血瘀”是本病的核心病机,肝胆瘀滞,胆气不利为本病的主要病机过程。治宜益气健脾、化瘀利胆为主,临证兼用柔肝、清热、除湿、化石等治法,并结合调整患者情绪、生活饮食习惯等非药物治疗方法,可获良效。This article introduces Professor Chen Wenhui’s clinical experience in treating gallstones based on the theory of “Spleen Deficiency and Blood Stasis.” Gallstones are often caused by emotional disturbances, improper diet, internal parasitic infections, and excessive fatigue. Based on the theory of “Deficiency Leading to Stasis,” Professor Chen believes that “Spleen Deficiency and Blood Stasis” is the core pathogenesis of this condition, with liver-gallbladder stagnation and impaired bile flow being the main pathological processes. The treatment should focus on invigorating qi, strengthening the spleen, resolving stasis, and promoting bile flow. In clinical practice, it is also combined with methods to soothe the liver, clear heat, eliminate dampness, and dissolve stones, along with non-pharmacological approaches such as adjusting the patient’s emotions, lifestyle, and dietary habits, which can yield good results.

关 键 词：胆结石 因虚致瘀 脾虚血瘀 辨证论治 

分 类 号：R256.4[医药卫生—中医内科学]