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李佃贵教授防治胆结石经验

Experience of Li Diangui in Prevention and Treatment of Gallstones

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浊毒理论是中医学体系中的重要组成部分,李佃贵教授将浊毒论与临床紧密结合,提出浊毒致病观.以"浊毒论"为基础,探讨胆结石的病机及治则治法,认为脾失升清,胃失降浊,肝失疏泄,胆失清净是本病发生的基础;浊毒内蕴,胆腑炼汁为石为核心病机;病位在肝胆,与脾胃密切相关.在胆结石的发生发展过程中,五脏失调均会引起浊毒内蕴,故治疗当化浊解毒,以求胆清汁净;提出化浊解毒的治疗总则,与肝相关则养阴柔肝,与胆相关则清热化湿,与脾胃相关则健脾祛湿,与气相关则疏肝利胆,与血相关则活血化瘀,坚积难去则软坚散结.
The theory of turbid toxins is an important component of traditional Chinese medicine(TCM).Li Dian-gui closely integrates the theory of turbid toxins with clinical practice,proposing the pathogenesis and treatment principles based on turbid toxins.Based on the"theory of turbid toxins",he explores the pathogenesis and treatment principles of gall-stones,believing that spleen deficiency in ascending clear qi,stomach deficiency in descending turbidity,liver deficiency in control free flow of qi,and gallbladder deficiency in cleansing are the foundation of this disease.Turbid toxins are inherent,with the formation of stones in the bile ducts as the core pathology,primarily affecting the liver and gallbladder and closely related to the spleen and stomach.In the development process of gallstones,imbalances in the five Zang organs can lead to the internal accumulation of turbid toxins.Therefore,treatment should focus on resolving turbidity and removing toxins to promote bile clarity and purity.Li Diangui proposes general treatment principles for resolving turbidity and removing tox-ins:nourishing yin and soothing the liver for liver-related issues,clearing heat and eliminating dampness for gallbladder-related issues,invigorating the spleen and dispelling dampness for spleen and stomach-related issues,regulating the liver and promoting gallbladder function for qi-related issues,promoting blood circulation and resolving stasis for blood-relat-ed issues,and dispersing hardness and resolving stagnation for stubborn accumulations.

GallstonesTurbid ToxinsResolving Turbidity and Removing ToxinsExperience of Famous Doctor

孟宪鑫、王东明、苏春芝

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河北省中医院,河北石家庄 050011

河北省浊毒证重点实验室,河北石家庄 050011

胆结石 浊毒 化浊解毒 名医经验

国家中医药局李佃贵国医大师传承工作室项目中医药传承与创新"百千万"人才工程(岐黄工程)项目河北省创新能力提升计划科技研发平台与新型研发机构建设专项河北省重大疾病-胆结石的中医药防治项目

国中医药办人教函[2018]119号20567625H2018125571-2

2024

10.13935/j.cnki.sjzx.240508

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子：1.053
ISSN：1673-6613
年,卷(期)：2024.19(5)
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