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基于康氏疫郁理论治疗慢加(亚)急性肝衰竭后肝纤维化经验

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目前临床上对于慢加(亚)急性肝衰竭的关注重点仍侧重于短期预后,即症状减轻及相关血清学指标的改善;对长期预后方面如肝衰竭后肝纤维化乃至肝硬化的防治重视不足.康良石教授,全国首批五百名老中医导师,中华中医药学会终身理事,荣获国务院特殊津贴、卫生部继承发扬祖国医学奖、中华中医药学会成就奖,家族九代业医,在东南亚被誉为"肝病克星",通过多年临床实践形成了自己独特的中医肝病理论体系,创造性提出"疫郁理论".阮清发主任,康氏肝病流派传承工作室负责人,现任福建省中医药协会肝病分会主委、厦门市中西医结合学会肝病分会主委,在康氏疫郁理论的基础上,结合多年临床诊治经验,主张应重视肝衰竭的长期预后,对肝衰竭后肝纤维化的患者建议应尽快采取中药口服治疗,以防后期进展成肝硬化.提出当遵循"先祛其郁,再补其虚"的治则,"疏畅肝木、顾护脾土"的治法,采取分期治疗,即早期侧重于痰湿瘀血等郁滞的清除,中期侧重于脾气肝血的恢复,后期兼顾肾气的培补,并附验案一则,以飨读者.
This Paper Briefly Describes the Experience of Treating,liver fibrosis after chronic plus(sub-)acute Liver Failure based on Kang's Theory of Epidemic Depression
Currently,the focus of clinical attention for slow-progressive acute liver failure is still on short-term prognosis,namely,improvement of symptoms and related serological indicators;insufficient attention is paid to long-term prognosis,such as the prevention and treatment of liver fibrosis and cirrhosis after liver failure.Professor Kang,Liangshi,one of the first 500 master teachers of traditional Chinese medicine in China,a lifetime fellow of the Chinese Medical Association,and a recipient of the State Council's Special Allowance and the Ministry of Health's Award for Carrying,Forward and Developing,Traditional Chinese Medicine,is a ninth-generation practitioner of medicine in his family and is known as"the Liver Disease Destroyer"in Southeast Asia.Through years of clinical practice,he has formed his own unique system of traditional Chinese medicine liver disease theory and creatively proposed the"Yi Yu Theory".Comrade Ruan Qingfa,the head of the Kang's Liver Disease School Inheritance and Development Studio,is currently the chief of the Fujian Provincial Association of Traditional Chinese Medicine's Hepatology Branch and the chief of the Xiamen Association of Integrative Medicine's Hepatology Branch.Based on the Kang's Yi Yu Theory,he advocates that attention should be paid to the long-term prognosis of liver failure and that oral treatment with Chinese medicine should be started as soon as possible for patients with liver fibrosis after liver failure to prevent progression to cirrhosis in the future.It is proposed that the principle of"first removing,stagnation and then supplementing,deficien-cy"be followed,with the treatment method of"smoothing,Liver Qi and nurturing,Spleen Qi."A periodized treatment is adopted,with emphasis on clearing,phlegm,dampness,blood stasis,etc.in the early stage,restoring,Qi and blood of the Spleen and Liver in the middle stage,and nurturing,Kidney Qi in the later stage.A case report is attached for the readers'reference.

academic school of Kang's liver diseaseepidemic depression theoryKangLiangshiliver fibrosis after liver failure

刘永顺、阮清发

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福建中医药大学 福建 福州 350122

福建中医药大学附属厦门中医院 福建 厦门 361009

康氏肝病学术流派 疫郁理论 康良石 肝衰竭后肝纤维化

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(11)