闫慧敏治疗婴儿胆汁淤积性肝病经验

YAN Huimin's Experience in Treating Infantile Cholestasis Liver Disease

总结闫慧敏教授辨证治疗婴儿胆汁淤积性肝病(胎黄)的临证经验。认为湿邪致病,是导致胎黄的主要病因,而无论阴黄、阳黄,湿邪均可阻滞气机,造成血行不畅、瘀血阻滞。本病总由胆汁不循常道,溢于肌肤所致,但脾失健运,胃失和降,湿邪内生为根本原因。临证时应四诊合参,首辨阴阳,提出以大便颜色和舌苔厚薄为主要辨证依据。治疗上常以祛湿为主,兼顾寒热,并将活血化瘀法贯穿治疗始终;同时加强疏肝利胆之法,以治病求本。在治疗过程中既要不忘顾护正气,防药邪伤正,同时又要见微知著,既病防变,促进病情恢复。

The clinical experience of Professor YAN Huimin in the treatment of infantile cholestasis liver disease（ fetal jaundice） was summarized. It is believed that the disease is caused by dampness pathogen,which is the main cause of fetal jaundice. Dampness pathogen can block the qi movement in both yin jaundice and yang jaundice,resulting in unsmooth blood circulation and blocked blood stasis. The disease is caused by bile overflowing out of bile duct to the skin,but dysfunction of spleen in transportation,dysfunction of stomach in harmonizing and descending,and internal generation of dampness pathogen are the root causes. In clinical practice,the four diagnostic techniques should be combined,and yin and yang syndrome should be differentiated firstly. The color of the stool and the thickness of the tongue coating are the main basis for syndrome differentiation. Treatment is often to remove dampness,and take into account the cold and heat,and the method of promoting blood circulation to remove blood stasis is going throughout the treatment; at the same time,the method of dispersing stagnated liver qi for promoting bile flow is strengthened to cure the disease and solve the root causes. In the course of treatment,it is necessary not to forget to concern and protect the healthy qi,prevent medicinal pathogen from damaging the healthy qi. Meanwhile,from the first small beginnings one can see how things will develop. We should not only prevent disease,but also promote the recovery of the disease,so as to prevent diseases from exacerbating,and promote the recovery of diseases.