QIN Bowei's experience in treatment of liver cirrhosis using ternary combinations of herbal drugs

QIAO Yiyu; LI Yan; SUN Lingling; CAO Yandong; CHEN Yifan

doi:10.16025/j.1674-1307.2025.12.016

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QIN Bowei's experience in treatment of liver cirrhosis using ternary combinations of herbal drugs

更新时间：2026-01-24

- QIN Bowei's experience in treatment of liver cirrhosis using ternary combinations of herbal drugs
- Beijing Journal of Traditional Chinese Medicine Vol. 44, Issue 12, Pages: 1590-1593(2025)
- 作者机构：
  
  1.北京中医药大学东直门医院，北京100700
  2.厦门医学院公共课教学部人文教研室，厦门361023
- 作者简介：
- 基金信息：
- DOI：10.16025/j.1674-1307.2025.12.016
  CLC：
- Received：17 March 2025，
  
  Published：25 December 2025
- 稿件说明：
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乔祎雨，李雁，孙玲玲，等.秦伯未治疗肝硬化常用角药经验［J］.北京中医药，2025，44（12）：1590-1593.

QIAO Yiyu,LI Yan,SUN Lingling,et al.QIN Bowei's experience in treatment of liver cirrhosis using ternary combinations of herbal drugs[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1590-1593.
乔祎雨，李雁，孙玲玲，等.秦伯未治疗肝硬化常用角药经验［J］.北京中医药，2025，44（12）：1590-1593. DOI： 10.16025/j.1674-1307.2025.12.016.

QIAO Yiyu,LI Yan,SUN Lingling,et al.QIN Bowei's experience in treatment of liver cirrhosis using ternary combinations of herbal drugs[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(12):1590-1593. DOI： 10.16025/j.1674-1307.2025.12.016.

摘要

秦伯未教授运用角药治疗肝硬化具有丰富的临床经验，其认为肝硬化的病性为本虚标实，针对肝硬化病程之不同阶段，总结其核心病机为“郁、瘀、水、虚”。郁为始（早期），治以理气解郁、和胃化滞，药用柴胡、枳壳、六神曲；瘀为枢（病进），注重活血化瘀、消癥散结，药用三棱、莪术、醋鳖甲；水为标（失代偿期），法遵行气健脾、利尿泻水，药用茯苓、泽泻、大腹皮；虚为本（晚期），强调顾护脾肾、扶正温阳，药用黄芪、肉桂、附子。临床紧扣病机，灵活施治，效果显著。

Abstract

Professor QIN Bowei has extensive clinical experience in treating liver cirrhosis using ternary combinations of herbal drugs. He believes that the pathological nature of liver cirrhosis is characterized by deficiency in origin and excess in manifestation. According to the different stages of the disease course， he summarizes the core pathogenesis of liver cirrhosis as "stagnation， stasis， water retention， and deficiency". Stagnation represents the beginning （early stage） and is treated by regulating

， relieving stagnation， harmonizing the stomach， and resolving food accumulation， with

Bupleuri Radix

，

Aurantii Fructus

， and

Massa Medicata Fermentata

. Stasis serves as the pivot （disease progression stage）， with treatment focusing on activating blood circulation， resolving stasis， and dispersing masses， using

Sparganii Rhizoma

，

Curcumae Rhizoma

， and vinegar-processed

Pelodisci Carapax

. Water retention represents the manifestation （decompensated stage）， and the therapeutic principle follows promoting

movement， strengthening the spleen， and inducing diuresis to drain water， with

Poria

，

Alismatis Rhizoma

， and

Arecae Pericarpium

. Deficiency constitutes the root （late stage）， emphasizing the protection of the spleen and kidneys and reinforcing vital

with warming-

yang

therapy， using

Astragali Radix

，

Cinnamomi Cortex

， and

Aconiti Radix Lateralis Praeparata

. In clinical practice， treatment is closely aligned with the underlying pathogenesis and applied flexibly， achieving significant therapeutic effects.

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references

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