基于古籍整理的脂肪肝历代方药证治分析

Research on syndrome differentiation and prescriptions of fatty liver based on ancient literature

目的:总结历代医家治疗脂肪肝的方药证治规律。方法:在《中华医典》中输入相应检索词检索出脂肪肝相关文献,排除干扰文献后,进行统计分析,归纳总结。结果:历代治疗脂肪肝的方药中,补虚药、理气药、活血化瘀药、温里药、解表药、化痰止咳平喘药、泻下药、清热药、利水渗湿药、化湿药、消食药出现的频率较高,累计频率达91.90%,起到主要治疗作用,其中以补虚药、理气药、活血化瘀药、温里药最为常用。结论:历代医家治疗脂肪肝的主要治法为:温中补虚、理气活血。

Objective： To study the regularity of syndrome differentiation and prescriptions of fatty liver based on ancient literature. Methods： The literature relevant to the fatty liver were retrieved from Zhonghua Yidian to analyze its potential law. Results： The Chinese herbal drugs including tonic drugs, qi-regulating drugs, stimulating circulation to end stasis drugs, warm up the interior drugs, treating exterior syndromes drugs, relieving cough and asthma drugs, eliminating drugs, heat-clearing drugs, removing dampness and promoting diuresis drugs, removing dampness drugs, and promoting digestion drugs were frequently used in the fatty liver, the frequency of which reached 91.90%. In particular, the tonic drugs, qi-regulating drugs, stimulating circulation to end stasis drugs were used most frequently. Conclusion： The main principle for treating fatty liver conformed by physicians in successive dynasties included warming up the interior, restoring qi, regulating the flow of qi, and stimulating circulation to end stasis.