李筠中医治疗慢加急性肝衰竭经验

Experience of LI Jun in treating acute-on-chronic liver failure with Chinese traditional therapy

文章介绍李筠教授中医治疗慢加急性肝衰竭经验。李筠教授认为本病的核心病因病机是"肝、脾、肾"本虚,"湿、热、毒、瘀、痰"为标实;注重疾病分期辨证;治疗中主要采用凉血解毒,祛湿化瘀或益气解毒,温阳化瘀,且关键药物的剂量取重不取轻;重视该病的西医发病机制,选取具有循证医学证据的中药控制疾病的进展。

This article introduces professor LI Jun＇s experience in treating acute-on-chronic liver failure（ACLF）. It is believed that the core pathogenesis of ACLF is deficiency of liver, spleen and kidney, and that dampness, heat, toxin, stasis and phlegm are the standard. Professor LI Jun emphasizes the staging of the TCM syndrome differentiation and puts forward some treatment methods including ‘cooling blood and detoxication, dispelling damp and removing blood stasis＇, or ‘benefiting qi and removing toxicity＇. What＇s more, paying an attention on the crucial medicine with a high doses rather than a low doses. The pathogenesis of the ACLF were also considered and the evidence-based traditional Chinese medicine were choosed to control the disease.