近3年脂肪肝中医研究进展

Research about traditional Chinese medicine treatment of fatty liver disease in recent 3 years

从病因病机、辨证论治、临床观察等方面,综述近3年来脂肪肝的中医研究概况。脂肪肝的病因病机有痰湿气滞,痰浊血瘀,湿热血瘀,本虚标实等;证型可概括为痰瘀互结、肝郁脾虚、湿热内蕴、气滞血瘀、肝肾阴虚等。在中医治疗和用药时应将病因与临床症状同时纳入辨证分析,微观与宏观相结合可提高疗效。可将中医体质学说引入脂肪肝的早期干预,发挥中医"治未病"的优势。

This paper mainly sumed up raditional Chinese medicine（TCM） treatment of fatty liver disease including the cause and pathogenesis ,treatment based on syndrome differentiation and clinical efficacy in recent 3 years. The cause and pathogenesis of fatty liver disease includes qi stagnation due to phlegm-dampness,turbid phlegm and blood stasis,damp-heat and blood stasis,primary deficiency and secondary excess and so on.The syndrome types of fatty liver disease can begeneralized as syndrome of intermingled phlegm and blood stasis,syndrome of stagnation of liver qi and spleen deficiency,syndrome of heat-dampness accumulated interior,syndrome of qi stagnation and blood stasis,syndrome of yin deficiency of liver and kidney.In conclusion,we suggest that we would better bring etiology and clinical symptoms into analysis of syndrome differentiation when we adopt traditional chinese medicine treatment.Besides,the micro and macro combination can enhance the therapeutic effect.We can also introduce TCM theory of constitution into the early intervention of fatty liver disease.Then we can make good use of the theory of the preventive treatment of disease in traditional chinese medicine.