从伏邪学说探讨脂肪肝的治疗思路

Brief discussion about treatment thoughts for fatty liver from theory of hidden pathogen

伏邪有狭义和广义之分。伏邪理论萌芽于《黄帝内经》,充实、发展、完善、成熟于明、清时期,近至现代,运用伏邪理论指导临床疾病的治疗得到广泛的开展。文章以中医传统伏邪学说为指导,根据伏邪病因、致病特点、变化规律来认识脂肪肝,认为"脂肪肝的产生乃以肝脾功能失调为本,痰、湿、毒、瘀等邪气内伏,继而后发",提出"未病先防、分期而治、疗程宜久"的防治策略,以期为临床脂肪肝防治提供新的思路。

The theory of hidden pathogen was a narrow and broad distinction. The theory of hidden pathogen originated from Inner Canon of Huangdi, it enriched, developed, perfected and matured in Ming and Qing dynasties, and it was applied widely in guiding the clinical treatment of diseases until modern times. This paper took the theory of hidden pathogen as the guidance, cognized the fatty liver according to the cause of disease, pathogenic characteristics and change law of hidden pathogen, and put forward the thoughts and viewpoints that ‘dysfunction of liver and spleen leaded to the generation of hidden pathogens such as phlegm, damp, toxicity and static blood, and resulted in diseases eventually＇. On this basis, the prevention and control strategy for fatty liver as ‘preventing disease before, treatment by stage, and long-term treatment＇ was put forward, in order to provide new ideas for the prevention and treatment of fatty liver in clinic.