从肝、脾、肾探讨自身免疫性肝炎中医病机理论

Discussion on the TCM Pathogenesis of Autoimmune Hepatitis from Liver,Spleen and Kidney

自身免疫性肝炎(AIH)是临床难治性疾病之一,该病的发生不仅与肝有关,且与脾肾的关系亦较为密切。虽多数医家皆从肝脾、肝肾论治该病,但中医学界对于AIH的病因病机尚未形成统一认识。该病的病因病机应着眼于肝、脾、肾三脏,不可顾此失彼。从肝、脾、肾在AIH病因病机中的作用及三脏的相互作用,探讨AIH中医病机理论,以期为临床治疗该病提供参考。

Autoimmune hepatitis(AIH)is one of the clinical refractory diseases.The occurrence of AIH is not only related to the liver,but also closely related to the spleen and kidney.Although most doctors treat AIH from liver,spleen,liver and kidney,the etiology and pathogenesis of AIH has not yet formed a unified understanding.The etiology and pathogenesis of this disease should focus on the liver,spleen and kidney.From the role of liver,spleen and kidney in the etiology and pathogenesis of AIH and the interaction of the three viscera,this paper discusses the TCM pathogenesis theory of AIH,in order to provide reference for clinical treatment of AIH.