益脾养肝法探析
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摘要
益脾包括补脾、运脾、温脾、醒脾、滋脾;养肝包括养肝血、疏肝气、暖肝阳、化肝瘀。益脾养肝法,即通过调理脾脏,助脾运化,培土植木,涵养肝脏,从而濡养肝体、助肝用、固毒邪,以达到肝脾二脏之间气机与功能的协调。在临床肝癌的诊治中,益脾养肝法可以通过调养脾胃而长养肝木之脏,调动肝木生发的机能,扶正助肝脾生养发陈以祛除毒邪。
Benefiting spleen includes invigorating spleen,activating spleen,warming spleen,awakening spleen and nourishing spleen; nourishing liver includes nourishing liver-blood,dispersing liver-qi,warming liver-Yang and removing liver stasis. The method of benefiting spleen and nourishing liver is to regulate spleen,help spleen to transport and transform,cultivate spleen and liver,and conserve liver,thereby nourish liver,help liver and fix toxic pathogens,so as to achieve the coordination of qi and function between liver and spleen. In the clinical diagnosis and treatment of liver cancer,the method of benefiting spleen and nourishing liver can nourish liver,activate the growth and ascending function of liver,strengthen vital qi to help liver and spleen to Shengyang Fachen to eliminate toxic evils by regulating spleen and stomach.
Benefiting spleen includes invigorating spleen,activating spleen,warming spleen,awakening spleen and nourishing spleen; nourishing liver includes nourishing liver-blood,dispersing liver-qi,warming liver-Yang and removing liver stasis. The method of benefiting spleen and nourishing liver is to regulate spleen,help spleen to transport and transform,cultivate spleen and liver,and conserve liver,thereby nourish liver,help liver and fix toxic pathogens,so as to achieve the coordination of qi and function between liver and spleen. In the clinical diagnosis and treatment of liver cancer,the method of benefiting spleen and nourishing liver can nourish liver,activate the growth and ascending function of liver,strengthen vital qi to help liver and spleen to Shengyang Fachen to eliminate toxic evils by regulating spleen and stomach.
引文
[1]邓铁涛.邓铁涛医学文集[M].北京:人民卫生出版社,2001:11.
[2]黄英志.叶天士医学全书[M].北京:中国中医药出版社,1995:4.
[3]唐宗海.血证论[M].天津:天津科学技术出版社,2003:283.
[4]侯风刚,凌昌全,赵钢,等.原发性肝癌中医基本证候临床分布状况调查分析[J].上海中医药杂志,2005,39(2):22-23.
[5]王靖思,陈兰羽,刘玉琴,等.孙桂芝从补脾胃、治未病论治肝癌经验[J].中医杂志,2015,56(13):1096-1097.
[6]藏文华,唐德才.益气活血法治疗原发性肝癌的理论探讨[J].中国中医基础医学杂志,2015,21(12):1498-1500.
[7]倪育淳,赵红艳,王晞星.肝癌从脾论治的理论基础和指导意义[J].浙江中医药大学学报,2012,36(6):616-617.
[8]张志聪,本草崇原[M].刘小平,点校.北京:中国中医药出版社,1992:5.
[9]江育仁.脾健不在补贵在运---运脾法在儿科临床的实践意义[J].中医杂志,1983,29(1):4-6.
[10]刘永刚,杨璇,孟唤男,等.常占杰益脾养肝法治疗肝硬化腹泻经验[J].江苏中医药,2016,48(4):31-32.
[11]张玉庆.肝病实脾的临证应用[J].现代中医药,2009,2(1):9.
[12]洪仲思,叶晓燕,丁立,等.温脾汤治疗肝癌介入术后腹痛的疗效分析[J].中西医结合肝病杂志,2008,18(4):221-222.
[13]郑春素.实脾法为肝纤维化的治疗大法[J].辽宁中医杂志,2016,43(1):52-53.
[14]李天天,褚雨霆,杨璐.脾主统血理论的内涵与拓展[J].中医药信息,2015,32(6):99-101.
[15]缪希雍.先醒斋医学广笔记[M].北京:中国中医药出版社,1999:697.
[16]刘凯军.脾阴虚证治沿革初探[J].江西中医药,2006,37(12):14-15.
[17]井贵平,郑立升,薛金发.中医脾阴理论初探[J].河南中医,2007,27(3):17-18.
[18]吴尚先.理瀹骈文[M].北京:中国中医药出版社,2007:253.
[19]陈梦雷.古今图书集成医部全录[M].北京:人民卫生出版社,1988:185.
[20]唐荣川.医经精义[M].北京:中国中医药出版社,1999:17.
[21]巢元方.诸病源候论[M].北京:人民卫生出版社,1982.
[22]潘学柱.肝阳虚理论基础探析[J].吉林中医药,1995,15(5):2-3.
[23]李京涛,郭师,席奇,等.益脾养肝方联合肝动脉化疗栓塞术治疗原发性肝癌的疗效观察[J].陕西中医,2015,36(8):944-945.
[24]刘亚珠,席奇,闫瑞娟,等.益脾养肝方联合TACE、3DCRT治疗原发性肝癌疗效观察[J].辽宁中医杂志,2017,44(5):975-978.
[25]赵丹,魏海梁,李京涛,等.益脾养肝方联合索拉非尼治疗中晚期肝癌34例[J].现代中医药,2018,38(1):31-33.
[26]李京涛,魏海梁,闫曙光,等.益脾养肝方对肝癌前病变大鼠血清IL-6、TNF-α的影响[J].现代中西医结合杂志,2018,27(3):236-239.
[27]李京涛,魏海梁,闫曙光,等.益脾养肝方对大鼠肝癌癌前病变NF-κB、STAT3蛋白表达的影响[J].辽宁中医杂志,2018,45(1):196-198.
[28]刘永刚,李京涛,常占杰,等.基于数据挖掘的常占杰治疗肝癌用药规律研究[J].辽宁中医杂志,2019,46(2):231-233.
[29]王宇亮,秦善文.郭淑云教授“病发于肝,治重在脾”学术思想治疗肝硬化经验[J].中医研究,2015,28(12):39-41.
[30]区鸿斌,陶衔,金伟孝,等.“见肝之病,知肝传脾,当先实脾”理论及其临床应用[J].中医杂志,2011,52(12):1073-1075.
[2]黄英志.叶天士医学全书[M].北京:中国中医药出版社,1995:4.
[3]唐宗海.血证论[M].天津:天津科学技术出版社,2003:283.
[4]侯风刚,凌昌全,赵钢,等.原发性肝癌中医基本证候临床分布状况调查分析[J].上海中医药杂志,2005,39(2):22-23.
[5]王靖思,陈兰羽,刘玉琴,等.孙桂芝从补脾胃、治未病论治肝癌经验[J].中医杂志,2015,56(13):1096-1097.
[6]藏文华,唐德才.益气活血法治疗原发性肝癌的理论探讨[J].中国中医基础医学杂志,2015,21(12):1498-1500.
[7]倪育淳,赵红艳,王晞星.肝癌从脾论治的理论基础和指导意义[J].浙江中医药大学学报,2012,36(6):616-617.
[8]张志聪,本草崇原[M].刘小平,点校.北京:中国中医药出版社,1992:5.
[9]江育仁.脾健不在补贵在运---运脾法在儿科临床的实践意义[J].中医杂志,1983,29(1):4-6.
[10]刘永刚,杨璇,孟唤男,等.常占杰益脾养肝法治疗肝硬化腹泻经验[J].江苏中医药,2016,48(4):31-32.
[11]张玉庆.肝病实脾的临证应用[J].现代中医药,2009,2(1):9.
[12]洪仲思,叶晓燕,丁立,等.温脾汤治疗肝癌介入术后腹痛的疗效分析[J].中西医结合肝病杂志,2008,18(4):221-222.
[13]郑春素.实脾法为肝纤维化的治疗大法[J].辽宁中医杂志,2016,43(1):52-53.
[14]李天天,褚雨霆,杨璐.脾主统血理论的内涵与拓展[J].中医药信息,2015,32(6):99-101.
[15]缪希雍.先醒斋医学广笔记[M].北京:中国中医药出版社,1999:697.
[16]刘凯军.脾阴虚证治沿革初探[J].江西中医药,2006,37(12):14-15.
[17]井贵平,郑立升,薛金发.中医脾阴理论初探[J].河南中医,2007,27(3):17-18.
[18]吴尚先.理瀹骈文[M].北京:中国中医药出版社,2007:253.
[19]陈梦雷.古今图书集成医部全录[M].北京:人民卫生出版社,1988:185.
[20]唐荣川.医经精义[M].北京:中国中医药出版社,1999:17.
[21]巢元方.诸病源候论[M].北京:人民卫生出版社,1982.
[22]潘学柱.肝阳虚理论基础探析[J].吉林中医药,1995,15(5):2-3.
[23]李京涛,郭师,席奇,等.益脾养肝方联合肝动脉化疗栓塞术治疗原发性肝癌的疗效观察[J].陕西中医,2015,36(8):944-945.
[24]刘亚珠,席奇,闫瑞娟,等.益脾养肝方联合TACE、3DCRT治疗原发性肝癌疗效观察[J].辽宁中医杂志,2017,44(5):975-978.
[25]赵丹,魏海梁,李京涛,等.益脾养肝方联合索拉非尼治疗中晚期肝癌34例[J].现代中医药,2018,38(1):31-33.
[26]李京涛,魏海梁,闫曙光,等.益脾养肝方对肝癌前病变大鼠血清IL-6、TNF-α的影响[J].现代中西医结合杂志,2018,27(3):236-239.
[27]李京涛,魏海梁,闫曙光,等.益脾养肝方对大鼠肝癌癌前病变NF-κB、STAT3蛋白表达的影响[J].辽宁中医杂志,2018,45(1):196-198.
[28]刘永刚,李京涛,常占杰,等.基于数据挖掘的常占杰治疗肝癌用药规律研究[J].辽宁中医杂志,2019,46(2):231-233.
[29]王宇亮,秦善文.郭淑云教授“病发于肝,治重在脾”学术思想治疗肝硬化经验[J].中医研究,2015,28(12):39-41.
[30]区鸿斌,陶衔,金伟孝,等.“见肝之病,知肝传脾,当先实脾”理论及其临床应用[J].中医杂志,2011,52(12):1073-1075.