浅析肝阳虚证及其在阴黄病中的辨治
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R256.4

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陕西省科学技术厅科技计划项目(2021FS-233);安康市科技局项目(2018AK03-03);安康市科技局项目(2019AK2019S-F-14); 国家重点研发计划课题(2018YFC1344504);白求恩基金会课题(B19106BN)


Analysis of Liver Yang Deficiency Syndrome and Its Differentiation and Treatment in Yin Jaundice Disease
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    摘要:

    慢性肝病辨证论治中易忽略肝阳虚证。现从生理、病理对肝阳虚证进行理论溯源探讨,分析其在慢性肝病辨证论治中的意义及运用。认为肝阳虚证来源有多种途径,临证辨治时宜鉴别肝气虚证与肝阳虚证,常用的补肝之法有治肝补脾、温肾暖肝、养血散寒、滋阴和阳、引火归元五法,并有相应方药。再者,将肝阳虚证理论结合阴黄病临床实际进行分析,提出“肝阳虚,湿浊郁火”为阴黄病的核心病机,治疗当以“辛开苦降,温肝阳”为大法。

    Abstract:

    Abstract:Liver yang deficiency syndrome is easily neglected in the syndrome differentiation and treatment of chronic liver disease. This paper traces the theoretical origin of liver yang deficiency syndrome from physiology and pathology,and analyzes its significance and application in syndrome differentiation and treatment of chronic liver disease. It is suggested that there are many ways of origin of liver yang deficiency syndrome and liver qi deficiency syndrome and liver yang deficiency syndrome should be differentiated in clinical practice. The commonly used methods of supplementing the liver include treating the liver and supplementing the spleen, warming the kidney and the liver, nourishing the blood and dispersing the cold, nourishing yin and yang,and returning fire to its source,and there are corresponding prescriptions. Furthermore,combining the theory of liver yang deficiency syndrome with the clinical practice of yin jaundice disease, it is proposed that the core pathogenesis of the disease is "liver yang deficiency,damp-turbidity and fire from constraint",and the treatment should be "opening acrid herbs and promoting descent bitter herbs as well as warming liver yang" as the major method.

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程贤文,杨进,施维群,曾霞,王峰,杨涛,黄开芳,邓婉君,唐梓涵,万文雅,张博,王新磊,张慧,指导:王振东.浅析肝阳虚证及其在阴黄病中的辨治[J].新中医,2022,54(4):177-182

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  • 在线发布日期: 2022-02-24
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