基于“肝为气之制”理论治疗代谢相关脂肪性肝病

Treatment of Metabolic Associated Fatty Liver Disease based on the Theory of"Liver Qi restricts the Whole Body Qi"

代谢相关脂肪性肝病是最常见的肝病之一,长期不治疗可进展为肝硬化甚至肝癌,严重威胁着人们的身体健康。日益提高的生活质量及加快的生活节奏使得该病患病率逐年攀升,但现行西医尚无疗效确切的治疗方案。中医认为该病病位在肝,累及脾、肾等脏腑,“肝体用失调”是该病的主要病机,众多医家多从“湿热”角度对其进行诊治。刘华宝教授是第二届全国名中医,长期从事肝病的基础教学和临床研究工作,形成了自己独特的学术理论创新。刘师认为肝脏气机失调是该病进展的中心环节,因而疏肝理气法应贯穿于治疗的始末;文章介绍了基于刘华宝教授“肝为气之制”理论治疗代谢相关脂肪性肝病的经验,并附一则医案。

Metabolism-related fatty liver disease is one of the most common liver diseases.If left untreated for a long time,it can progress to liver cirrhosis or even liver cancer,which seriously threatens people’s health.The increasing quality of life and accelerated pace of life make the prevalence rate of this disease increase year by year,but the current Western medicine has no definite treatment plan.Traditional Chinese medicine believes that the disease is located in the liver,involving the spleen,kidney and other viscera.“Disharmony of the liver and body”is the main pathogenesis of the disease.Many doctors diagnose and treat it from the perspective of“damp heat”.Professor LIU Huabao is the second nationally famous Chinese medicine practitioner.He has been engaged in basic teaching and clinical research of liver diseases for a long time,and has formed his own unique academic theory innovation.Master LIU believes that the disorder of liver Qi mechanism is the central link in the progress of the disease,so the method of soothing the liver and regulating Qi should run through the whole treatment;the article introduces the experience of treating metabolic-related fatty liver disease based on Professor LIU Huabao’s theory of“the liver is the system of Qi”.A medical case is attached.