基于“诸病黄家,但利其小便”理论辨治胆汁淤积性黄疸

Treatment of cholestatic jaundice based on the theory of 'Huang Jia,just need diuresis'

胆汁淤积性黄疸是指由各种有害因素导致的胆汁排泌障碍,其病理表现上普遍存在胆管水肿及水液代谢失调。基于“诸病黄家,但利其小便”理论,中医学认为湿邪为胆汁淤积性黄疸发病的关键病理基础,而肝脾不调,肾与膀胱气化失常则是其发黄的主要病机,小便不利是其致病的重要环节,利小便法是其治疗常法。但“利小便”法并不是单纯的淡渗利尿,而是泛指“祛湿”的治疗法则,调理肝脾,恢复膀胱气化功能,使湿邪有出路,从而达到“退黄”的目的。文章另附验案一则以飨同道。

Cholestatic jaundice refers to bile excretion disorders caused by various harmful factors,the pathological manifestations of biliary edema and water metabolism disorders are common.Based on the theory of 'Huang Jia,just need diuresis',damp pathogen is the key pathological basis of cholestatic jaundice,the main pathogenesis of jaundice is disorder of liver and spleen,and abnormal gasification of kidney and bladder,unfavorable urination is an important link in its pathogenesis,and the method of relieving urination is a common treatment.However,the method of 'facilitating urination' is not simply light infiltration diuresis,but generally refers to the treatment law of 'dispelling dampness',regulating the liver and spleen,restoring the bladder gasification function,so that the dampness evil has a way out,so as to achieve the purpose of 'retreating yellow'.One proved case is attached for share.