施维群教授化瘀法辨治肝硬化的经验总结

Experience of Professor SHI Weiqun in Treating Cirrhosis

[目的]总结施维群教授化瘀法治疗肝硬化的学术思想与临证经验,以更好地传承与创新。[方法]通过查阅施维群教授关于肝硬化方面的论文、课题,学习相关理论知识,门诊跟诊抄方,收集、整理相关典型医案,探究其临证的思路、辨证规律,处方用药,总结并归纳其应用化瘀法治疗肝硬化的学术思想与临证经验,并附验案举隅。[结果]施维群教授认为肝硬化的病机要点是瘀血阻络,治疗时以化瘀法为主,但在进行个体论治时,需结合气、血、阴、阳的偏颇,分别采用行气化瘀、益气化瘀、养血化瘀、温阳化瘀、滋阴化瘀的辨证论治方法;方路上多选用柴胡疏肝散、补中益气汤、金匮肾气丸、六味地黄丸、二至丸、血府逐瘀汤等经典方剂加减化裁,在临床上取得了较好的治疗效果,所举医案,疗效颇佳。[结论]施维群教授治疗肝硬化临床经验颇丰,融汇古今,善用活血药物,用药精当,形成严密的诊疗思路,其学术经验值得传承与推广。

[Purpose]To summarize Professor SHI Weiqun＇s clinnical experience in cirrhosis by Huayu method of traditional Chinese medicine,who is the famous doctor of traditional Chinese medicine in Zhejiang Province.[Method] To study and research Professor SHI Weiqun ＇s subjects and books on cirrhosis,to learn revelant theoretical knowledge, to follow his guidance, to collect and arrange typical cases record, and his methods of TCM differentiation of symptoms and signs,by these methods to explore the thinking and syndrome differentiation of the syndrome,summarize Professor SHI Weiqun ＇s clinnical experience in cirrhosis by Huayu method of traditional Chinese medicine.[Result]Professor SHI Weiqun thinks main points of pathogenesis is blood stasis,but,when treating individuals, need to combine the difference among Qi,blood,Yin and Yang,and form the academic experience of Xingqi Huoxue,Yiqi Huayu,Yangxue Huayu,Wenyang Huayu,Ziyin Huayu.He often selects Chaihu Shugan powder, Buzhong Yiqi decoction, Chinkuei Shin Chewan pills,Liuwei Dihuang Wan, Erzhi pills, Xuefu Zhuyu decoction ect.[Conclusion]Professor SHI Weiqun has rih clinical experiences,merges ancient and modern,makes good use of activating blood circulation drugs, selects precise and appropriate, has formed a relatively rigorous thought of diagnosis and treatment, the academic thought and clinical experience is worthy of inheritance and promotion.