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中国医药导刊 ›› 2020, Vol. 22 ›› Issue (9): 604-606.

• 临床医学 • 上一篇    下一篇

中医在非酒精性脂肪性肝病治疗中的运用探讨

 陈小兰1, 朱琪2   

  1. 1. 福建中医药大学, 福建 福州 350122;
    2. 厦门大学附属福州第二医院肝胆内科, 福建 福州 350007
  • 收稿日期:2020-05-26 修回日期:2020-08-01 出版日期:2020-09-29 发布日期:2020-11-10

Discussion on the Application of Traditional Chinese Medicine in the Treatment of Nonalcoholic Fatty Liver Disease

  1. 1. Fujian University of Traditional Chinese Medicine, Fujian Fuzhou 350122, China;
    2. Fuzhou Second Hospital Affiliated to Xiamen University, Fujian Fuzhou 350007, China
  • Received:2020-05-26 Revised:2020-08-01 Online:2020-09-29 Published:2020-11-10

摘要: 非酒精性脂肪性肝病(NAFLD)是临床常见的慢性肝病,随着生活条件的改善,其患病率及检出率逐年增加。为初步探讨中医在非酒精性脂肪性肝病治疗中的运用,本文从非酒精性脂肪性肝病的中医病名、病因病机、辨证分型以及中医治疗几个方面进行回顾分析和探讨,结合临床经验,认为其病位涉及肝脾肾,病因病机与痰、湿、瘀、脾虚关系最大,辨证以痰瘀、湿热、肝郁、脾虚证多见,治疗上辨证准确是“捷径”,加强运动、饮食调整是关键。

关键词: font-size:medium, ">非酒精性脂肪性肝病;中医治疗;病因病机;辨证分型

Abstract: Nonalcoholic fatty liver disease (NAFLD) is a common chronic liver disease. With the improvement of living conditions, its prevalence rate and detection rate increase year by year. To preliminarily explore the application of traditional Chinese medicine (TCM) in the treatment of NAFLD, this article introduced from the aspects of TCM disease name, etiology and pathogenesis, syndrome differentiation and TCM treatment of NAFLD, then combined with clinical experience to draw the following conclusions. The disease location involves the liver, spleen and kidney, and the etiology and pathogenesis are most related to phlegm, dampness, blood stasis and spleen deficiency. Phlegm stasis, dampness and heat, liver stagnation and spleen deficiency syndrome are more common in syndrome differentiation. In treatment, accurate syndrome differentiation is the "shortcut", strengthening exercise and diet adjustment is the key.

Key words: font-size:medium, ">Nonalcoholic fatty liver disease; TCM treatment; Pathogenesis; Syndrome differentiation

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