|
|
Analysis of Professor Lü Wenliang’s thinking of diagnosis and treatment of jaundice |
XU Lei1 QIANG Rui2 ZHANG Lili2 YAO Ziang1 LYU Wenliang2 |
1.Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Department of Liver Disease, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China |
|
|
Abstract Jaundice is a common clinical disease of liver diseases in traditional Chinese medicine, with yellow eyes, yellow body and yellow urine as the typical manifestations. Professor Lü Wenliang, based on Zhong Jing’s theory that “Huang family, get it from dampness”, combined with the comments of medical experts and clinical experience in the past dynasties, believes that jaundice, exogenous six climatic exopathogens, and internal injuries and miscellaneous diseases can be the cause of jaundice, but the evil of “dampness” is the most important. Although there is a change from cold to heat, most of them are heat. And dampness evil has been living for a long time, accumulating stagnation in the liver and spleen. The liver regulates qi and stores blood, and the spleen regulates dampness and regulates blood. If it is qi stagnation and blood injury and heat trapping blood tier, it can cause blood stasis, heat and yellowing. Therefore, in the treatment of clinical syndromes, it is often to strengthen vital qi to eliminate pathogenic factor as the key link, mainly to clear the dampness-heat, cool the blood and remove blood stasis, supplemented by nourishing the liver and spleen, regulating qi and blood. And combined with the patient’s actual situation, attention and syndrome change, and to consider the profit and loss.
|
|
|
|
|
[1] 杨敏,卢明芹.肝细胞性黄疸的诊断与治疗[J].实用肝脏病杂志,2018,21(2):160-162.
[2] 齐中,邢颖,汪鑫,等.恶性梗阻性黄疸的微创减黄治疗[J].中国临床医生杂志,2021,49(4):391-393.
[3] 黄忠华,石炳林,何传果,等.恶性梗阻性黄疸治疗进展[J].中国医学创新,2019,16(14):169-172.
[4] 施卫兵,徐梦翔.黄疸病若干问题思考[J].中医药临床杂志,2019,31(2):247-250.
[5] 王晓丽,黄古叶,赵凯杰,等.经方治疗黄疸的临床研究进展[J].中医药临床杂志,2019,31(4):792-795.
[6] 杨佼,吕文良.“退黄八法”治疗黄疸经验[J].河北中医,2011,33(2):220-222.
[7] 杨佼,吕文良.中医黄疸病因病机研究[J].辽宁中医药大学学报,2010,12(10):69-70.
[8] 朱丹,吕文良.刍议仲景从湿论治黄疸[J].云南中医中药杂志,2009,30(7):5-6,8.
[9] 杨佼,吕文良.探源析流论黄疸[J].吉林中医药,2011,31(4):282-283.
[10] 夏聪敏,姜泉,李克嵩,等.湿热理论源流探颐[J].辽宁中医杂志,2021,48(11):52-55.
[11] 林兰凤,刘汶.刘汶教授分期治疗黄疸经验[J].中西医结合肝病杂志,2020,30(6):559-560.
[12] 严艳.柔肝健脾养阴,活血解毒法治疗慢性乙型肝炎初探[D].北京:北京中医药大学,2004.
[13] 谭艳,陈聪,周聪,等.历代医家对黄疸病的认识[J].中国中医急症,2021,30(1):149-151,155.
[14] 尹常健.现代肝病中医临证指要[J].山东中医杂志,2022, 41(1):6-12.
[15] 陆伦根,蔡晓波,王建设,等.胆汁淤积性肝病管理指南(2021)[J].临床肝胆病杂志,2022,38(1):62-69.
[16] 邓舟,黄育华.浅析清代名医叶天士诊治黄疸的治法特点[J].中西医结合肝病杂志,2019,29(4):368-369.
[17] 于立红,卢秉久.卢秉久诊治黄疸的经验[J].江苏中医药,2013,45(5):9-10.
[18] 胡伶姿,刘明坤,吕文良,等.吕文良教授运用黄芪论治慢性肝病的经验[J].吉林中医药,2019,39(2):154-157.
[19] 刘江凯,赵文霞.赵文霞临证治疗黄疸经验浅析[J].中华中医药杂志,2015,30(11):3982-3984.
[20] 秦燕,朱建光.地黄功效考证[J].中医学报,2018,33(1):114-118.
[21] 傅梦薇,李洪峥,王阶.痰瘀互结证之理论与研究[J].时珍国医国药,2021,32(12):2977-2980.
[22] 豆鹏程,舒劲,代禹红,等.下法治疗黄疸探析[J].河南中医,2021,41(4):511-514.
[23] 周兴,刘朝圣,李点,等.熊继柏教授辨治黄疸经验[J].中华中医药杂志,2014,29(8):2538-2540.
[24] 张婷婷,刘明坤,倪瑶,等.吕文良教授运用对药治疗慢性肝病经验探析[J].辽宁中医药大学学报,2018,12:132-134.
[25] 邓存国.白花蛇舌草治疗急性黄疸型肝炎[J].中医杂志,2007(8):722.
[26] 徐楚楚,苏晓兰,潘雨烟,等.基于网络药理学的白花蛇舌草-半枝莲药对治疗胃癌前病变作用机制研究[J].北京中医药,2021,40(8):901-906.
[27] 刘爽,曹正民,代欣璨,等.吕文良治疗肝癌用药经验[J].吉林中医药,2021,41(3):313-316.
[28] 曹思思,陈新瑜.黄疸的中医治疗进展[J].中国中医急症,2016,25(12):2312-2315.
[29] 单思,聂鹏,席惠芳,等.中药治疗黄疸研究进展[J].世界中医药,2016,11(11):2486-2489.
[30] 朱凤丽.小儿退黄口服液治疗新生儿黄疸的疗效及安全性分析[J].中国医药科学,2020,10(16):51-53,66.
[31] 武璇,李尚点,刘丹,等.以阴阳为纲辨治黄疸新解[J].环球中医药,2021,14(2):309-312.
[32] 王晓丽,黄古叶,赵凯杰,等.经方治疗黄疸的临床研究进展[J].中医药临床杂志,2019,31(4):792-795.
[33] 刘琛,赫长胜.巴戟天多糖对梗阻性黄疸大鼠T细胞免疫平衡影响研究[J].细胞与分子免疫学杂志,2011,27(6):678-679.
[34] 倪瑶,刘明坤,张婷婷,等.吕文良教授从“调和气血”论治自身免疫性肝炎[J].辽宁中医药大学学报,2017,19(10):122-124.
[35] 胡燕珍,卫军营,唐仕欢,等.《中医方剂大辞典》中含栀子方剂用药规律分析[J].中国中药杂志,2016,41(7):1342-1347.
[36] 刘文志.基于文献研究国医大师治疗黄疸的经验[D].长沙:湖南中医药大学,2020. |
|
|
|