杨震治疗肝硬化经验
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摘要
杨震教授认为正气不足是肝硬化发病的基础,而瘀血阻络为本病病机所在,其病因病机为湿、热、痰、瘀等相互交结。在临证诊治时注重舌诊及舌下脉络,认为舌下脉络的迂曲增粗严重程度与肝硬化的程度相关。在治疗时采用分期论治的方法,在肝硬化早期以行气活血化瘀为主,在代偿期采用攻补兼施之法,在失代偿期以养阴利水泻热同用。在药物治疗同时注重饮食及精神调养等,临床疗效可靠。
According to Professor YANG Zhen,healthy qi deficiency is the fundamentals of cirrhosis,blood stasis blocking the collaterals is the disease cause,and dampness,heat,phlegm,and stasis intermingling is the disease mechanism. At the time of diagnosis and treatment,the clinical examination should focuse on the diagnosis of tongue and sublingual veins,and the degree of the curve and thickening of the sublingual veins was related to the severity of hepatic sclerosis. This disease should be treated according to different stages.In the early stage,cirrhosis was mainly treated with moving qi and activating blood circulation,in the compensation stage,treated with both tonifying and attacking,and in the decompensation stage,treated both nourishing yin,draining water and purging heat. Besides the drug treatment,dietary treatment and mental regulation should be applied to ensure reliable clinical efficacy.
According to Professor YANG Zhen,healthy qi deficiency is the fundamentals of cirrhosis,blood stasis blocking the collaterals is the disease cause,and dampness,heat,phlegm,and stasis intermingling is the disease mechanism. At the time of diagnosis and treatment,the clinical examination should focuse on the diagnosis of tongue and sublingual veins,and the degree of the curve and thickening of the sublingual veins was related to the severity of hepatic sclerosis. This disease should be treated according to different stages.In the early stage,cirrhosis was mainly treated with moving qi and activating blood circulation,in the compensation stage,treated with both tonifying and attacking,and in the decompensation stage,treated both nourishing yin,draining water and purging heat. Besides the drug treatment,dietary treatment and mental regulation should be applied to ensure reliable clinical efficacy.
引文
[1]范婷婷,谢渭芬.肝纤维化和肝硬化治疗进展[J].国际消化病杂志,2010,48(6):349-351.
[2]黄英男,吴昊,沈锡中.乙型肝炎肝硬化抗病毒治疗研究进展[J].复旦学报(医学版),2013,58(2):233-238.
[3]郝建梅,陈香妮,袁超,等.杨震教授分型辨治慢性肝病肝纤维化的经验[J].中西医结合肝病杂志,2013,23(1):52-54.
[4]张介宾.景岳全书[M].李继明,王大淳,整理.北京:人民卫生出版社,2014:527-528.
[5]王清任.医林改错[M].李天德,张学文,整理.北京:人民卫生出版社,2015:27.
[6]李中梓.医宗必读[M].郭霞珍,整理.北京:人民卫生出版社,2015:277.
[7]赵研,陆小左.肝脏病理炎症纤维化分级分期与舌象的相关性[J].吉林中医药,2014,34(4):382-384.
[8]任晓芳,范滨,刘雪.疏肝化瘀汤治疗肝纤维化126例[J].陕西中医,2008,29(3):302-301.
[9]凌嫚芝,范重丽.疏肝化瘀汤治疗肝炎后肝纤维化59例[J].陕西中医,2007,28(9):1111-1112.
[10]陈士铎.本草新编[M].柳长华,徐春波,校注.北京:中国中医药出版社,2008:297.
[11]郝建梅,高红梅,杨彤.化纤汤治疗肝纤维化30例[J].陕西中医,2003,24(1):33.
[12]郝建梅,李幸仓,王显著,等.疏络化纤颗粒治疗大鼠肝纤维化的药效学研究[J].中西医结合肝病杂志,2011,21(3):162-164.
[13]王海洋,孙玉英,黄欣,等.杨震教授治疗阴虚型鼓胀经验[J].陕西中医,2015,36(7):895-896.
[14]郝建梅,陈香妮.甲苓饮治疗阴虚型肝硬化腹水的临床研究[J].中西医结合肝病杂志,2008,18(2):68-70.
[15]任晓芳.三甲复脉汤合猪苓汤治疗肝硬变腹水30例[J].陕西中医,1998,19(3):105-106.
[16]郝建梅,李幸仓,孙守才,等.甲苓饮治疗大鼠肝硬化腹水的试验研究[J].中国实验方剂学杂志,2010,16(9):138-140.
[17]朱震亨.格致余论[M].施仁潮,整理.北京:人民卫生出版社,2014:49.
[2]黄英男,吴昊,沈锡中.乙型肝炎肝硬化抗病毒治疗研究进展[J].复旦学报(医学版),2013,58(2):233-238.
[3]郝建梅,陈香妮,袁超,等.杨震教授分型辨治慢性肝病肝纤维化的经验[J].中西医结合肝病杂志,2013,23(1):52-54.
[4]张介宾.景岳全书[M].李继明,王大淳,整理.北京:人民卫生出版社,2014:527-528.
[5]王清任.医林改错[M].李天德,张学文,整理.北京:人民卫生出版社,2015:27.
[6]李中梓.医宗必读[M].郭霞珍,整理.北京:人民卫生出版社,2015:277.
[7]赵研,陆小左.肝脏病理炎症纤维化分级分期与舌象的相关性[J].吉林中医药,2014,34(4):382-384.
[8]任晓芳,范滨,刘雪.疏肝化瘀汤治疗肝纤维化126例[J].陕西中医,2008,29(3):302-301.
[9]凌嫚芝,范重丽.疏肝化瘀汤治疗肝炎后肝纤维化59例[J].陕西中医,2007,28(9):1111-1112.
[10]陈士铎.本草新编[M].柳长华,徐春波,校注.北京:中国中医药出版社,2008:297.
[11]郝建梅,高红梅,杨彤.化纤汤治疗肝纤维化30例[J].陕西中医,2003,24(1):33.
[12]郝建梅,李幸仓,王显著,等.疏络化纤颗粒治疗大鼠肝纤维化的药效学研究[J].中西医结合肝病杂志,2011,21(3):162-164.
[13]王海洋,孙玉英,黄欣,等.杨震教授治疗阴虚型鼓胀经验[J].陕西中医,2015,36(7):895-896.
[14]郝建梅,陈香妮.甲苓饮治疗阴虚型肝硬化腹水的临床研究[J].中西医结合肝病杂志,2008,18(2):68-70.
[15]任晓芳.三甲复脉汤合猪苓汤治疗肝硬变腹水30例[J].陕西中医,1998,19(3):105-106.
[16]郝建梅,李幸仓,孙守才,等.甲苓饮治疗大鼠肝硬化腹水的试验研究[J].中国实验方剂学杂志,2010,16(9):138-140.
[17]朱震亨.格致余论[M].施仁潮,整理.北京:人民卫生出版社,2014:49.