浅谈通腑法治肝病

Liver Treatment by the Rule Tongfu

肝与胆生理上相为表里,病理上相互影响。在肝病发病过程中,毒邪贯穿疾病始终。现代医学研究发现,肝脏发生病变时,其解毒功能和清除内毒素的能力下降,容易形成肠源性内毒素血症,通过泻下,能增强肠道蠕动,改善肠道血液循环,促进新陈代谢,清除肠道内的细菌,排出毒素,控制感染,从而减少肝性脑病,肝肾综合症等并发症。若肝病患者出现顽固性腹水,腹大坚满撑急者,又当急则治其标。清热解毒,通腑攻下,能使邪有出路。临床上,治肝病用通腑法主要体现在三方面:通肠腑以泻浊,通水腑以逐湿,通胆腑以清热,或单用或合用或辨证加减使用。

The liver and gall bladder to exterior photogenic physiological, pathological interaction. In the course of liver disease, drug evil has always been through the disease. Modern medical research found that the occurrence of liver diseases, the detoxification function and the ability to remove endotoxin decreased, easy to form intestinal endotoxemia by diarrhea, intestinal peristalsis can enhance and improve the intestinal blood circulation, promote metabolism, removal of intestinal bacteria, from toxins, infection control, thereby reducing hepatic encephalopathy, complications such as hepatorenal syndrome. If the liver disease in patients with refractory ascites, large abdominal radical kennedy who hold full and urgent need for the governance of its standard. Clearing away heat and toxic, Tongfu take to make this evil have a way out. Clinically, administration Tongfu law with liver disease is mainly embodied in three aspects： to pass intestinal bowel diarrhea turbidity, water bowel by a wet, bowel gall to pass Qingre, or single or combined addition and subtraction or the use of the dialectic.