从《环溪草堂医案》看王旭高治肝病临证特点

Wang Xugao's Clinical Experience of Treating Hepatopathy in His Work “Huanxicaotang Medical Record”

清代名医王旭高素以肝病治疗闻名,通过分析《环溪草堂医案》中《肝气、肝火、肝风》一门的61例病案,初步研究其临证治疗肝病的学术思想。王旭高认为阴虚阳亢、肝脾不调与痰瘀阻滞是肝病发生的主要因素,治疗重视养肾阴以抑肝阳,培脾土以抑肝木,结合活血化瘀、消痰除湿,主次分明,收效斐然。

Wang Xugao,a Qing-Dynasty TCM doctor,is famous for his clinical experience of treating hepatopathy. To study his clinical experience preliminarily in this area,this article analyzed 61 cases from his work： Huanxicaotang Medical Record： ＂liverqi,liver-fire and liver-wind＂. Wang Xugao considered yin deficiency and yang hyperactivity disorder between liver and spleen together with phlegm and stasis accumulation as the main factors of hepatopathy. He paid attention to nourishing the kidney yin to control the liver yang,strengthening spleen to control liver,combining with removing blood stasis and eliminating phlegm and damp. His prescriptions focused on treating primarily the key symptoms and received excellent curative effects.