[1]石磊 郝建梅 袁超 毛明华 李知强 杨震.杨震教授运用“相火学说” 治疗阴虚相火肝硬化腹水临床经验[J].陕西中医药大学学报,2021,44(03):026-30.[doi:10. 13424 / j. cnki. jsctcm. 2021. 03. 006]
 SHI Lei HAO Jianmei YUAN Chao MAO Minghua LI Zhiqiang YANG Zhen.Professor YANG Zhen??s Clinical Experience in Treating Ascites Due to Liver Cirrhosis with Yin Deficiency and Minister Fire Type by Minister Fire Theory[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,44(03):026-30.[doi:10. 13424 / j. cnki. jsctcm. 2021. 03. 006]
点击复制

杨震教授运用“相火学说” 治疗阴虚相火肝硬化腹水临床经验
分享到:

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
44
期数:
2021年03期
页码:
026-30
栏目:
出版日期:
2021-05-30

文章信息/Info

Title:
Professor YANG Zhen??s Clinical Experience in Treating Ascites Due to Liver Cirrhosis with Yin Deficiency and Minister Fire Type by Minister Fire Theory
文章编号:
2096-1340(2021)03-0026-05
作者:
石磊 郝建梅 袁超 毛明华 李知强 杨震
西安市中医医院,陕西 西安 710300
Author(s):
SHI Lei HAO Jianmei YUAN Chao MAO Minghua LI Zhiqiang YANG Zhen
Xi??an Hospital of Traditional Chinese Medicine, Xi??an 710300, China
关键词:
相火学说肝硬化腹水鼓胀肝肾阴虚杨震
Keywords:
Minister fire theory Ascites due to cirrhosis Gu Zhang Yin deficiency of liver and kidney YANG Zhen
分类号:
R256. 42
DOI:
10. 13424 / j. cnki. jsctcm. 2021. 03. 006
文献标志码:
A
摘要:
杨震教授在肝病的临床辨治中,创新性应用“相火学说”的观点,把肝病所产生的局部内生火热按“病理相火”这一理论去研究,补充了对肝病的病机认识思路。 肝硬化失代偿期,可出现水瘀互结证,属中医“鼓胀”范畴。 其病因多为情志所伤、酒食不节或感受疫毒,或由其他病证转化引起肝、脾、肾三脏功能失调,导致气滞、血瘀、水饮停留腹中。 肝体阴而用阳,阳常有余而阴常不足,故肝肾阴虚往往为本病晚期的发展趋势,瘀毒互结,相火灼伤阴精,导致阴虚内热、水瘀互结为主要病机所在,也是变生他证的中心环节。 通过介绍杨震教授运用“相火学说”治疗阴虚相火肝硬化腹水临床经验及典型医案,体会“相火学说”在肝病诊治中应用的临床思维。
Abstract:
Professor YANG Zhen creatively applied the viewpoint of Minister fire theory in the clinical differentiation and treatment of liver diseases, and studied the local endogenous fire heat produced by liver diseases according to the the ory of pathological minister fire, which supplemented the understanding of the pathogenesis of liver diseases. In the de compensated stage of liver cirrhosis, a large amount of ascites with water and blood stasis with Yin deficiency and minister fire, and to understand the clinical thinking of minister fire theory in the diagnosis and treatment of liver diseases.syndrome may appear, which belongs to the category of Gu Zhang in traditional Chinese medicine. The etiology of the disease is mostly emotional inju ry, improper drinking and eating, or feeling epidemic toxin, or caused by the transformation of other diseases and syn dromes, resulting in dysfunction of liver, spleen and kidney, resulting in Qi stagnation, blood stasis and water retention in the abdomen. Yin deficiency of liver and kidney is the development trend in the late stage of the disease. The main pathogenesis of the disease is Yin deficiency and internal heat, water and blood stasis. The purpose of this paper is to in troduce Professor YANG Zhen??s clinical experience and typical medical records in treating ascites due to liver cirrhosis

参考文献/References:

[1]刘平. 现代中医肝脏病学[M]. 北京:人民卫生出版社,2002: 158-159.
[2] MLLER S, HENRIKSEN J H, BENDTSEN F. Pathoge neticbackground for treatment of ascites and hepatorenalsyndrome [ J ]. Hepatology International, 2008, 2 ( 4 ):416-428.
[3] PERE GINéS,QUINTERO E,ARROYO V,etal. Compen satedcirrhosis:Natural history and prognostic factors [ J].Hepatology,1987,7(1):122-128.
[4] 黄甫,田莉婷. 加味实脾饮治疗肝硬化腹水脾肾阳虚型 150 例[J]. 陕西中医学院学报,2018,41(4):64-65.
[5] RUNYON B A. Management of adult patients with ascitesdue tocirrhosis[J]. Hepatology,2004,39(3):841-856.
[6] RUNYON B. Ascites and spontaneous bacterial peritonitis[J]. Gastrointestinal Disease,1993,2(4):393-420.
[7] 高风琴,杨跃青. 鼓胀病中医辨证规范化研究[ J]. 陕西中医学院学报,2012,35(3):15-16.
[8] 朱 丹 溪. 格 致 余 论 [ M]. 北 京: 人 民 卫 生 出 版 社,2005:46.
[9]王洪图,赵明山. 内经选读[M]. 上海:上海科学技术出版社,1997. 54
[10] 朱丹溪. 格致余论 [ M]. 北 京: 人 民 卫 生 出 版 社,2005:46.
[11] 罗小芳,茹清静. 茹清静辨治鼓胀病经验[ J]. 甘肃中医药大学学报,2016,33(2):30-33.
[12] 王振常,黄晶晶,宾容. 从肺论治肝硬化腹水[ J]. 辽宁中医药大学学报,2013,15(1):17-18. [13] 王静,周瑞月,梁瑞敏. 梁瑞敏教授治疗肝硬化腹水的经验总结[J]. 光明中医,2016,31(6):775-777.
[14] 王恩成,唐琳,姚伟,等. 鼓胀病从“肝主小便” “肝阳虚”论治[J]. 光明中医,2018,33(3):316-318.
[15] 刘星磊,张勇前,邵金阶,等. 邵金阶治疗肝硬化腹水的临 证 经 验 [ J ]. 基 层 医 学 论 坛, 2019, 23 ( 7 ):1004-1005.
[16] 吴秋霞. 肝硬化腹水从三焦论治辨析[ J]. 中国民族民间医药,2017,26(14):71-72,74.
[17] 王亚红,吉兴旺. 刘铁军教授对肝硬化腹水病因病机的认识[J]. 中国医药指南,2016,14(14):200-202.
[18] 梁宏才,麦国颖,吴晓菊,等. 池晓玲治疗鼓胀及其兼证经验介绍[J]. 新中医,2018,50(8):236-238.
[19]赵献可. 医贯[M]. 北京:人民卫生出版社,2005: 99.
[20]金桂兰,曾莉. 加味兰豆枫楮汤治疗肝硬化肝肾阴虚证的临床研究 [ J]. 现代中西医结合杂志,2002,11(24):2452.

备注/Memo

备注/Memo:
基金项目:国家中医药管理局全国名中医传承工作室建设项目杨震全国名中医传承工作室项目(国中医药办人教函 [2018]119 号);陕西省中医学术流派传承工作室建设项目黄元御长安学术流派传承工作室项目(陕中医 药发[2018]40 号)
更新日期/Last Update: 2021-06-08