Chronic liver diseases are common in clinical practice,with depression,deficiency,dampness,toxin,and stasis as the core pathogenesis,which are presented at different disease stages.The liver and spleen disorder with depression and deficiency as the core is the key to the occurrence and development of chronic liver diseases.Accordingly,the simultaneous regulation of liver and spleen is the basic principle of treating chronic liver diseases.The connotation of this principle is different at different disease sta-ges.According to the physiological and pathological characteristics of the liver and spleen,the treatment of the spleen should be based on the differentiation between deficiency and excess,and methods of activating,invigorating,warming,enlivening,and tonify-ing should be adopted flexibly.Similarly,the treatment of the liver should also be based on syndrome differentiation with emphasis on both liver property and function,with flexible adoption of soothing,relaxing,dispersing,and emolliating methods.In the clinical practice,the treatments of spleen and liver are not isolated but complementary to each other.The principle of simultaneously regula-ting the spleen and liver has been proven effective in treating chronic liver diseases.
关键词
慢性肝病/核心病机/郁/虚/肝脾同病/肝脾同调/治脾调肝/中医治疗
Key words
Chronic liver disease/Core pathogenesis/Depression/Deficiency/Co-occurrence of liver and spleen diseases/Sim-ultaneous regulation of liver and spleen/Treating spleen and regulating liver/Chinese medical treatment