督灸在慢性肝病中的临床应用

Clinical Application of Du-moxibustion in Treating Chronic Liver Disease

探讨督灸治疗慢性肝病的理论基础、应用范围及临证体会。督灸适用于实寒、虚寒、气滞、血瘀、寒湿等证的慢性肝病,可应用于治疗自身免疫性肝病、难治性黄疸、顽固性腹胀、抑郁焦虑性失眠及免疫力低下的慢性肝病患者。督灸在临证中应首重辨证施灸,发挥其温阳通脉、散寒止痛、活血通络之功效,且在治疗阴虚证时不忘阳中求阴。此外,督灸的同时宜配合内服汤药治疗,达到相得益彰、远期疗效持久的作用。

Objective：To discuss the theory basis,application range and clinical experience of du-moxibustion in treating chronic liver disease.The du-moxibustion is applicable to patients with syndromes of sthenic cold,asthenia-cold,qi stagnation,blood stasis and cold-dampness,which can also be applied in the treatment of patients with autoimmune liver disease,refractory jaundice,obstinate abdominal distension,depression and anxiety insomnia and low immunity.In those clinical experiences,the prime emphasis should be given to the application of du-moxibustion with syndrome differentiation,whose effect should be exerted in warming yang and dredging meridians,dispelling cold to relieve pain,and activating blood and dredging collaterals,and it should reinforce yin from yang in the treatment of yin deficiency syndrome.In addition,the application of moxibustion should be combined with oral administration of herbal medicine at the same time so as to complement each other and obtain a long-lasting clinical effect.