轻微型肝性脑病中医病因病机探析

Analysis on TCM Etiology and Pathogenesis of Mild Hepatic Encephalopathy

轻微型肝性脑病在肝硬化患者中有较高发病率,但目前临床上存在套用显性肝性脑病中医病因病机来诊治本病的误区。研究组在长期临床实践基础上认为本病病因病机应至少包含如下几个方面:长期肝硬化基础不可忽视,脾胃功能日渐衰微应作为发病基础,痰浊上蒙心神脑窍是致病关键,肺与大肠肃降失常是其重要病机,总结起来本病的基本病机可概括为:脾胃衰微、痰浊盘踞、上蒙心神脑窍。

The incidence of mild hepatic encephalopathy is relatively high among cirrhosis patients, but the diagnosis and treatment of it are misled by distinct etiology and pathogenesis of hepatic encephalopathy at present. According to long -term clinical practice, the researching group gets a conclusion that its etiology and pathogenesis include at least following aspects： assignable basis of long-term cirrhosis, onset basis of declining spleen and stomach function, pathogenic key of phlegm accumulating and occluding orifices as well as important cause of disorder between lung and large intestine; therefore its basic pathogenesis can be generalized as feeble spleen and stomach as well as accumulation of phlegm turbidity blocking orifices.