基于康氏“疫郁理论”探讨康良石治疗慢性乙型肝炎学术思想

The academic thought of Kang Liang-shi in the treatment of chronic hepatitis B based on"Kang shi yiyu theory"

康良石教授基于五脏一体、六郁相因提出辨治慢性乙型肝炎(CHB)的康氏“疫郁理论”。其认为CHB起病于肝,又不止于肝,涉及五脏六腑;立清解里毒、理气通滞、泄热降火三法为CHB的防治要领。康老认为肝病用药应以平为主,注重顾护脾胃;临证用药多因地制宜,采用本地药物,减轻患者负担。此文对康老基于疫郁理论辨治CHB进行总结,并附验案1则,为临床诊治肝病提供思路。

Professor Kang Liang-shi put forward the Kang’s"yiyu"theory based on the integration of five internal organs and the relative causes of six depressions.It believes that CHB originates from the liver disease and not only in the liver,but also involves the internal organs.Based on the"yiyu"theory,the treatment of CHB is discussed.Kang believes that"Gang ping"should be the main medication characteristics for liver disease,and care should be taken to protect the spleen and stomach;clinical drugs are mostly local drugs,and measures should be taken according to local conditions to reduce the burden on patients.This article summarizes the diagnosis and treatment of liver disease based on the Kang’s"yiyu"theory,and attaches a case study to provide ideas for clinical diagnosis and treatment of liver disease.