以脂肪肝现代共识病名追溯宋元明清相关文献对比研究

Explanation of adiposis hepatica prescription in documents from Song,Yuan,Ming,and Qing dynasties with consensus modern disease names

目的研究以脂肪肝现代共识病名追溯宋元明清文献中相关方药理论。方法以现代医家共识的脂肪肝中医病名为依据,通过对宋元明清主要医籍中防治脂肪肝相关疾病的方药进行整理,并对其药物进行统计、分析。结果宋元明清医家在"肝痞"的治疗中以补泄兼顾,标本兼治;从脾论治,助化蠲浊;辛开苦降,甘温并施为主。结论 "肝痞"从虚论治、坚守即病防变的思想、以温补为主,不忘理气活血,为历代医家所共识,现代在此基础上又以消散之法为主。

Objective To research the explanation of adiposis hepatica prescription in documents from Song,Yuan,Ming,and Qing dynasties with consensus modern disease names.Methods Based on the consensus modern disease names,we categorized and statistical analyzed the prescriptions on hepatica treatment in Song,Yuan,Ming,and Qing dynasties.Results Our research showed that the doctors from Song,Yuan,Ming,and Qing dynasties treated Liver Swelling from three aspects： to give consideration to reinforcement of leaking and treatment of symptom and etiopathogenisis,to treat from the spleen and eliminate the turbidity.Conclusion Treating deficiency,giving priority to gentle reinforcement are the consensus of doctors from ancient times to now,meanwhile,the recipe of defluxio is added in the modern treatment.