酒精性肝病治疗思路阐要

本文首先论述了酒精性肝病的主要病机是酒毒损伤脾胃肝胆,并从中医病机演变角度阐明其病机特点有递进关系:初则脾胃损伤,继而肝失疏泄,肝脾不调,气血不和,最终演变为肝脾肾不调。接下来提出在辨病、辨证论治思想指导下,本病的病机发展阶段可分伤酒(酒痞)、酒癖、酒臌三期。最后提出本病应结合体质,在辨病、辨证思想指导下分期论治。

Main Points in the Treatment of Alcoholic Liver Disease

Attention is paid in the treatment of alcoholic liver disease.Firstly,the main pathogenesis of alcoholic liver disease is described as alcoholic toxins progressively injuring spleen,stomach,liver and gallbladder according to the traditional Chinese medicine theory.The spleen and the stomach are impaired at the beginning,which results in catharsis dysfunction of the liver.The imbalance of liver and spleen then causes the disharmony of Qi and blood,which finally ends up with disorder of the liver,the spleen and the kidney.Secondly,the paper proposes that alcoholic disease can be staged as alcohol related to stuffiness,alcohol related to liver swelling and alcoholic tympanites based on the disease differentiation and syndrome differentiation therory in tradtional Chinese medicine.Finally,it presents a theory that alcoholic liver disease should be treated by staging with physical type based on the disease differentiation and syndrome differentiation therory in tradtional Chinese medicine.