常占杰教授益脾养肝法治疗药物性肝损伤经验

常占杰教授在药物性肝损伤的治疗中以脾胃虚弱为辨证中心,强调未病先防、既病防变的治未病理念,在治疗中注重脾胃阳气,时时顾护胃气,故治疗中以益脾养肝为法。初期治以清热利湿、疏肝理气,即便是湿热内蕴,脾胃虚弱者,少佐以健脾益气之味,仍要注意湿热伤阴的问题;后期需顾护阴津、温通气血。常教授在临床实际中形成了独特的思维模式:以平淡之法,用平和之药而达到非常之效。益脾养肝法治疗药物性肝损伤切中病机,具有较好的临床疗效。

Professor Chang Zhanjie's Experience in Treating for Drug-induced Liver Injury with Supplementing Spleen and Liver Method

Professor Zhang Zhanjie considers Spleen-stomach deficiency syndrome as the dialectical center in treatment of drug-induced liver injury,emphasizing the importance of treating pre-disease and Yang of Spleen-stomach,and take method of supplementing spleen and liver in treatment.In the early period of treatment,Professor Zhang tends to clear heat and drain dampness,simultaneously soothing Liver and regulating Qi;as for patients of Spleen-stomach deficiency syndrome with damp-heat brewing internally,pay attention to supplementing Spleen and invigorate Qi to protect Yin of body.Later,take actions to warm and dredge Qi and blood,still considering Yin fluid.In clinical,Professor Chang has formed a unique mode of thinking:adopt a peaceful approach with the peaceful medicine to achieve very clinical efficacy.Method of supplementing spleen and liver in treatment of drug-induced liver injury fit the pathogenesis well,and has a satisfactory clinical efficacy.