略论“肝体阴用阳”在上消化道出血中的应用

Discussion of application of “Yin nature but Yang function of liver” theory in upper gastrointestinal hemorrhage

上消化道出血多由热入血分、脾不统血等致血溢脉外而成,临床常法以凉血止血、益气摄血为主,疗效多不显著。笔者在临床中发现此类患者除出现出血见证外常兼有舌红、苔黄腻、脉弦等肝阳偏亢之症。基于此,我们从"肝体阴用阳"角度出发,在辨证论治的基础上加入柔肝养血、抑木潜阳等相关中药而获得奇效。本文拟从"肝体阴用阳"角度讨论上消化道出血的治疗体会。

Upper gastrointestinal tract bleeding was frequently caused by the heat invading into the blood, blood stasis,and spleen failing to control blood, therefore the blood overflow the vessels.In TCM clinics, they were often treated by removing the heat from the blood, arresting bleeding, supplementing Qi and nourishing blood but the effect was poor. In clinical practice the author found that bleeding patients were often accompanied with hyperactivity of liver Yang, such as red tongue, yellow greasy moss and pulse string, etc.Based on this and syn- drome differentiation, and from the view of＂Yin nature but Yang function of liver＂ theory,the prescrption of nour- ishing liver and blood, adding inhibiting wood and strengthening soil and other related Chinese medicine was used and excellent curative effects were obtained.