王庆国教授治疗肝硬化的证治经验

Professor WANG Qingguo's experience on liver cirrhosis

王庆国教授从医40余年,临床精于肝胆病的辨证施治。王教授认为肝硬化的病因病机主要是湿热毒邪贯穿于病程始终,尤其是在病变活动明显的阶段,湿热之象更为突出,肝硬化的标实主要表现为肝郁气滞、湿热瘀血,其中以瘀血阻络为病机关键。王教授临床上多将肝硬化分为湿热久羁、瘀血阻络,湿热未清、瘀血阻络、肝热脾寒、寒热互见,肝脾不和、气滞血瘀,肝肾阴亏、瘀热内阻等4种证候进行辨证施治。他强调病证结合、中西互参、辨治兼顾,临床取得了较好的疗效。

Professor WANG Qingguo has been clinically practiced for more than 40 years,and he specialises in treating liver cirrhosis with syndrome differentiation. Professor Wang maintains the pathogenesis of liver cirrhosis is dampness and heat toxic throughout the disease,especially in activity stage. The excessive manifestation is liver qi stagnation,dampness-heat and blood stasis,and blood stasis blocking channels is the key pathogenesis. Professor WANG divides liver cirrhosis into four syndrome types： long-lasted dampness-heat and blood stasis blocking channels,intermingled liver heat and spleen cold,disharmony of liver and spleen,blood stasis due to qi stagnation; yin-deficiency of both liver and kidney,stagnantheat blocked internally. He also emphasizes combination disease and syndrome,integrated Chinese and western medicine,which shows good effect.