六经体质学说在慢性肝病全病程管理中的运用

The application of the theory of six meridians constitution in the comprehensive management of chronic liver disease

慢性肝病作为全球公共卫生问题焦点之一,具有病程长、晚期并发症多等特点,需要医者做到全病程规范化管理。笔者在长期临床实践中发现,中医体质对于慢性肝病发生发展方向具有重要影响,故笔者带领团队将红外热成像技术引入到中医体质辨识当中,在中医四诊基础上形成了第五诊:人体红外热态图。从而提出“体病一体化”学术思想,并融合伤寒六经辨证、伏邪理论、中医体质学,最终形成了六经体质学说。在该学说的指导下,慢性肝病的诊治取得了良好效果并形成了较完备的“辨病-辨质-辨证”三位一体的诊疗新模式,值得临床推广运用。

As one of the focuses of global public health problems,chronic liver disease has the characteristics of a long course of disease and many late complications,which requires doctors to achieve standardized management of the whole course of the disease.In the long-term clinical practice,the author found that the constitution of traditional Chinese medicine has an important influence on the occurrence and development direction of chronic liver disease.Therefore,the author led the team to introduce infrared thermal imaging technology into the constitutional identification of traditional Chinese medicine and formed the fifth diagnosis on the basis of the four diagnostic methods of traditional Chinese medicine:infrared thermal map of human body.The academic thought of"integration of body and disease"was proposed and integrated into the syndrome differentiation of six meridians of typhoid fever,the theory of hidden pathogen and the constitution of traditional Chinese medicine,and finally,the theory of six meridians constitution was formed.Under the guidance of this theory,the diagnosis and treatment of chronic liver disease has achieved good results and formed a relatively complete new diagnosis and treatment mode"disease differentiation-constitution differentiation-syndrome differentiation."It is worthy of clinical application.