常占杰教授益脾养肝法治疗药物性肝损伤经验
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摘要
常占杰教授在药物性肝损伤的治疗中以脾胃虚弱为辨证中心,强调未病先防、既病防变的治未病理念,在治疗中注重脾胃阳气,时时顾护胃气,故治疗中以益脾养肝为法。初期治以清热利湿、疏肝理气,即便是湿热内蕴,脾胃虚弱者,少佐以健脾益气之味,仍要注意湿热伤阴的问题;后期需顾护阴津、温通气血。常教授在临床实际中形成了独特的思维模式:以平淡之法,用平和之药而达到非常之效。益脾养肝法治疗药物性肝损伤切中病机,具有较好的临床疗效。
Professor Zhang Zhanjie considers Spleen-stomach deficiency syndrome as the dialectical center in treatment of drug-induced liver injury,emphasizing the importance of treating pre-disease and Yang of Spleen-stomach,and take method of supplementing spleen and liver in treatment. In the early period of treatment,Professor Zhang tends to clear heat and drain dampness,simultaneously soothing Liver and regulating Qi; as for patients of Spleen-stomach deficiency syndrome with damp-heat brewing internally,pay attention to supplementing Spleen and invigorate Qi to protect Yin of body. Later,take actions to warm and dredge Qi and blood,still considering Yin fluid. In clinical,Professor Chang has formed a unique mode of thinking: adopt a peaceful approach with the peaceful medicine to achieve very clinical efficacy. Method of supplementing spleen and liver in treatment of drug-induced liver injury fit the pathogenesis well,and has a satisfactory clinical efficacy.
Professor Zhang Zhanjie considers Spleen-stomach deficiency syndrome as the dialectical center in treatment of drug-induced liver injury,emphasizing the importance of treating pre-disease and Yang of Spleen-stomach,and take method of supplementing spleen and liver in treatment. In the early period of treatment,Professor Zhang tends to clear heat and drain dampness,simultaneously soothing Liver and regulating Qi; as for patients of Spleen-stomach deficiency syndrome with damp-heat brewing internally,pay attention to supplementing Spleen and invigorate Qi to protect Yin of body. Later,take actions to warm and dredge Qi and blood,still considering Yin fluid. In clinical,Professor Chang has formed a unique mode of thinking: adopt a peaceful approach with the peaceful medicine to achieve very clinical efficacy. Method of supplementing spleen and liver in treatment of drug-induced liver injury fit the pathogenesis well,and has a satisfactory clinical efficacy.
引文
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[2]鲍中英.药物性肝损伤的发病机制[J].中华临床医师杂志(电子版),2015,19(9):3485-3487.
[3]郑艺兰,金海燕.药物性肝损伤的研究进展[J].世界最新医学信息文摘,2015,15(21):162.
[4]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.
[5]王亚,李春婷.调肝治胃法治疗慢性胃炎[J].吉林中医药,2011,31(12):1152.
[6]郑翔,刘惠武.章真如医论精选[M].北京:中国中医药出版社,2011:338.
[7]宋卫红.脾气虚证治之我见[J].中外健康文摘,2010,7(22):326-327.
[8]段元志,余桂枝.茵陈五苓散化裁治疗慢性乙型肝炎黄疸63例[J].江西中医药,2013,44(11):26-28.
[9]李明.黄文东治疗脾胃病经验撷要[J].山西中医,2011,27(2):8.
[10]刘永刚,李媛媛,李建芳,等.“治痿独取阳明”新解[J].四川中医,2012,30(4):51-52.
[11]叶桂.临证指南医案[M].北京:人民卫生出版社,2006:385.
[12]唐荣川.血证论[M].上海:上海人民出版社,1977:9-10.
[13]黄仰模.金匮要略讲义[M].北京:人民卫生出版社,2003:19.
[14]张锡纯.医学衷中参西录(下册)[M].北京:人民卫生出版社,2006:661.
[15]李小红,张翠丽,刘亚珠.常占杰教授治疗肝病之经验[J].四川中医,2012,30(1):12-13.