从“厚土载木法”论治慢性病毒性肝炎

Treating Chronic Viral Hepatitis with "Method of Strengthening the Spleen to Nourish the Liver"

国医大师邓铁涛认为土气虚是导致慢性乙型肝炎发生的主要原因,健脾补气,扶土载木为治疗慢性肝炎的总则。李可老中医受黄元御、彭子益等思想的影响,总结出:"三阴统于太阴""后天胃气(中气)乃先天肾气之根,生命之延续全赖中气之滋养、灌溉""土能生万物,无土不成世界。"结合以上医家的观点,吕英教授总结出慢性病毒性肝炎肝功能异常的主要病机是土气不足,血脉有热,治以厚土气,疏导局部邪热为主,立足于"厚土载木大法",自创肝炎方,既可保护患者肝脏功能,又能固护本气,同时避免抗病毒治疗给患者带来的不适之症,临床适用范围大,疗效显著。

Deng Tie-tao,a doctor of TCM,believes that deficiency of earth-qi is the main cause of chronic hepatitis B. Strengthening the spleen and invigorating qi and supporting the earth and carrying wood are the general principles of treating chronic hepatitis B. Influenced by the thoughts of Huang Yuan-yu and Peng Zi-yi and other predecessors,Li Ke,an old TCM doctor,concluded that " three Yin meridians finally center on Taiyin meridian" ," the acquired stomach qi ( mid-qi) is the root of congenital kidney qi,and the continuation of life depends entirely on the nourishment and irrigation of mid-qi" ," earth can create all things,and the world does not exist without earth" . Combining the viewpoints of the above doctors,Professor Lu Ying has summarized that the main pathogenesis of chronic viral hepatitis is insufficiency of earth qi and excessive heat in blood veins. The treatment of chronic viral hepatitis mainly focuses on relieving strengthening the spleen qi and dispersing the local pathogenic heat,. Professor Lv has established prescription for treating hepatitis based on "method of strengthening the spleen to nourish the liver" ,which can not only protect the liver function of patients,but also protect the root of qi,and avoid the discomfort caused by antiviral therapy. It has a wide range of clinical application and remarkable curative effect.