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1.北京市西城区展览路社区卫生服务中心中医科,北京 100037
2.北京市大兴区旧宫社区卫生服务中心中医科,北京 100070
3.北京市海淀区花园路社区卫生服务中心中医科,北京 100088
4.北京大学人民医院中医科,北京 100044
5.北京京顺医院全科医疗科,北京 101300
刘美颖,女,40岁,硕士,副主任医师。研究方向:社区常见病的中医全科诊疗及中医健康管理方案制定。
王少杰,E-mail: wsj_51@163.com
收稿日期:2024-11-19,
纸质出版日期:2025-08-25
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刘美颖,付小芳,郭雁,等.王少杰基于“体用学说”探讨酒精性肝病的中医病机演变及治疗策略[J].北京中医药,2025,44(8):1044-1047.
LIU Meiying,FU Xiaofang,GUO Yan,et al.WANG Shaojie's exploration of TCM pathogenesis evolution and treatment strategies for alcoholic liver disease based on the theory of body and function[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1044-1047.
刘美颖,付小芳,郭雁,等.王少杰基于“体用学说”探讨酒精性肝病的中医病机演变及治疗策略[J].北京中医药,2025,44(8):1044-1047. DOI: 10.16025/j.1674-1307.2025.08.020.
LIU Meiying,FU Xiaofang,GUO Yan,et al.WANG Shaojie's exploration of TCM pathogenesis evolution and treatment strategies for alcoholic liver disease based on the theory of body and function[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(08):1044-1047. DOI: 10.16025/j.1674-1307.2025.08.020.
王少杰教授从中医“肝体阴而用阳”角度出发,认为酒精性肝病的核心病机演变分为三个阶段,初期为酒毒湿热损伤肝之阴血,影响气机运行;中期为毒滞肝络,体用失衡;晚期为病久累及脾肾心之阴精,精血亏虚,心神耗损,阴阳俱损,易生变症。临床通过理化检查结果客观分析脏腑本体的异常、其功能的“用”受损程度,强化患者自我健康管理意识,审证求因,切中病机,治疗上主张体用兼顾、阴阳双调、排毒化瘀、扶正通络,使肝血精足,气血络通,排毒有道,疗效显著。
Professor WANG Shaojie, from the perspective of traditional Chinese medicine (TCM) that "the liver is
yin
in body and
yang
in function", proposes that the evolution of the core pathogenesis of alcoholic liver disease can be divided into three stages. In the early stage, alcohol-induced dampness-heat damages the liver's
yin
blood, impairing qi movement. In the middle stage, toxin stagnation obstructs the liver collaterals, resulting in disharmony between body and function. In the late stage, prolonged illness affects the
yin
essence of the spleen, kidneys, and heart, leading to deficiency of essence and blood, depletion of the heart spirit, and damage to both
yin
and
yang
, which easily gives rise to complications. Clinically, physicochemical examination results are used to objectively analyze abnormalities of the
zangfu
organs and the degree of impairment of their functions, thereby strengthening patients' awareness of self-health management, identifying causes through syndrome differentiation, and accurately targeting the pathogenesis. In treatment, he advocates an approach that addresses both body and function, harmonizes
yin
and
yang
, expels toxins and removes blood stasis, supports the healthy qi and dredges collaterals, thereby ensuring sufficiency of liver blood and essence, unobstructed
qi
and blood flow, effective detoxification, and achieving remarkable therapeutic outcomes.
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徐晓涵 , 刘宏潇 . 基于“引导阴阳,开通障塞”从三焦体用辨治系统性红斑狼疮 [J ] . 北京中医药 , 2023 , 42 ( 12 ): 1353 - 1356 .
许文君 , 李秀惠 . 肝肾同源理论在肝性脊髓病治疗中的应用 [J ] . 北京中医药 , 2023 , 42 ( 3 ): 302 - 303 .
孙婷婷 , 陈兰羽 , 朱丹 , 等 . 姚乃礼以“四法一则”论治肝硬化经验 [J ] . 北京中医药 , 2024 , 43 ( 6 ): 671 - 674 .
穆杰 , 刘海霞 , 杜欣 , 等 . 基于脏腑体用学说指导下的“三部诊疗”中西医结合辨证策略 [J ] . 环球中医药 , 2020 , 13 ( 6 ): 998 - 1001 .
李艺锋 . 酒精性肝病患者肠黏膜屏障损伤及临床特点并中医证候特点研究 [D ] . 贵州 : 贵阳中医学院 , 2015 .
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