毛德文肝衰竭毒邪-毒浊学说及其临床应用拾遗

唐秋媛; 龙富立; 覃艳新; 张建玲; 王明刚; 陈月桥; 毛德文

doi:10.13192/j.issn.1000-1719.2019.12.011

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毛德文肝衰竭毒邪-毒浊学说及其临床应用拾遗

中国中医药临床案例成果库 | 方剂纵横

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毛德文肝衰竭毒邪-毒浊学说及其临床应用拾遗
MAO Dewen's Theory of Liver Failure and Its Clinical Application
1.广西中医药大学第一附属医院肝病科，广西　南宁　530023
2.广西中医药大学研究生学院，广西　南宁　530001
DOI：10.13192/j.issn.1000-1719.2019.12.011

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唐秋媛, 龙富立, 覃艳新, 等. 毛德文肝衰竭毒邪-毒浊学说及其临床应用拾遗[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.011

TANG Qiuyuan, LONG Fuli, QIN Yanxin, et al. MAO Dewen's Theory of Liver Failure and Its Clinical Application[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.011
唐秋媛, 龙富立, 覃艳新, 等. 毛德文肝衰竭毒邪-毒浊学说及其临床应用拾遗[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.011 DOI：

TANG Qiuyuan, LONG Fuli, QIN Yanxin, et al. MAO Dewen's Theory of Liver Failure and Its Clinical Application[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2019.12.011 DOI：

摘要

毛德文教授根据多年的临床经验，提出了肝衰竭“毒邪-毒浊致病”新学说：急性肝衰竭、亚急性肝衰竭之“毒邪致病”，慢加急性肝衰竭、慢性肝衰竭之“毒浊致病”；总结了“毒邪致病”学说的“截断逆转法”，“毒浊致病”学说的“扶阳培土法”；并凝练了急性（亚急性）肝衰竭“毒邪致病-截断逆转”的以解毒化瘀颗粒为主导的中医/中西医结合治疗方案，慢加急性肝衰竭、慢性肝衰竭“毒浊致病—扶阳培土”的以茵陈术附汤等为代表的中医/中西医结合治疗方案，肝性脑病“通腑开窍—通腑醒神、通腑保肝”的以大黄煎剂为核心的中医治疗方案等3个新方案。经临床应用证实，该学说指导的治疗方案具有一定的临床疗效。

Abstract

Professor MAO Dewen, based on years of clinical experience, has put forward a new theory of "toxic pathogentoxic turbidity pathogenesis" in liver failure: toxic pathogen leading acute and subacute liver failure, turbidity leading to chronic and acute hepatic failure and chronic hepatic failure. He has summed up "truncated reversal" and Fuyang Peitu method and has condensed three new treatments of liver failure: Treatment of acute (subacute) hepatic failure of turbidity leading to diseases with Jiedu Huayu Granules by combination of traditional Chinese medicine and western medicine, treatment of acute-on-chronic liver failure and chronic liver failure represented by Yinchen Shufu Decoction of "turbidity leading to diseases-Fuyang Peitu" and the treatment of hepatic encephalopathy according to "purgation and resuscitation-purgation of waking up and relieving liver" with rhubarb decoction as the core traditional Chinese medicine therapy. It has been proved by clinical application that the treat-ment program guided by this theory has certain clinical curative effect.

关键词

肝衰竭毒邪毒浊毛德文临床应用

Keywords

liver failuretoxic pathogenstoxic turbidMAO Dewenclinical application

references

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