摘要
以"燮理阴阳"的思路,阐释石冠卿教授对肝硬化的发生、发展以及治疗思路的演变。"肝喜条达而恶抑郁,体阴而用阳,阴盛则柔,阳盛则刚,过刚则折"。肝郁太过,肝阳易盛,气聚血瘀之初,肝阴尚未大伤,表现为积块软而不坚,尚易治疗;"阳盛则刚",病久伤阴,肝体失柔,表现为积块已变木硬,治疗较难;癥积经过治疗,迨积块消其大半,宜培正固本;发展到鼓胀阶段,阴阳之气并衰,当先攻逐,寓补于攻,待水渐退,然后再予攻补兼施。他强调在肝硬化的治疗过程中,务宜"谨察阴阳所在而调之,以平为期"。
Based on the idea of'Xie Yin Yin Yang',we explained the development of Shi Guanqing’s liver cirrhosis and its evolution.'The liver is good and the evil is depressed,the body is cloudy and the Yang is used,the Yin is soft,the Yang is strong,the rigid is broken.'Liver depression too,liver Yang Yi Sheng,gas accumulation of blood stasis at the beginning,liver Yin has not been seriously injured,manifested as a soft and not hard,is easy to treat;'Yang Sheng is a rigid',a long period of injury Yin,liver body loss of soft,showing that the block has changed wood hard,treatment is difficult;The Qi of yin and Yang is failing,attacking and expending at first,complementing and attacking,waiting for water to fade away,and then attacking and supplementing.He stressed that in the treatment of liver cirrhosis,it is necessary to observe'Yin Yang'and adjust it to a flat term.
作者
黄琳
崔应麟
朱广领
HUANG Lin;CUI Ying-lin;ZHU Guang-ling(Henan Province Traditional Chinese Medical Hospital,Zhengzhou,475000,China;Zhengzhou Traditonal Chinese Medicine Hospital,Zhengzhou,450000,China)
出处
《时珍国医国药》
CAS
CSCD
北大核心
2019年第2期478-479,共2页
Lishizhen Medicine and Materia Medica Research
基金
河南省中医药科学研究专项课题(2015ZY01006)
关键词
石冠卿
国家级名中医
燮理阴阳
肝硬化
Shi Guan Qing
national famous Chinese medicine
Xie Li Yin Yang cirrhosis
作者简介
黄琳(1987-),女(汉族),河南商丘人,河南省中医院医师,硕士学位,主要从事中医内科研究工作;崔应麟(1963-),男(汉族),河南濮阳人,河南省中医院主任医师,硕士学位,主要从事中医药防治脑病学研究工作.