毛德文“毒邪-毒浊致病”学说治疗肝衰竭经验撷菁
Experience of MAO Dewen Treating Hepatic Failure with Theory of "Toxin-Turbid Causing Liver Failure"
DOI:10.13192/j.issn.1000-1719.2021.11.009
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1.广西中医药大学第一附属医院,广西 南宁 530023
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吕超, 毛德文, 石清兰, 等. 毛德文“毒邪-毒浊致病”学说治疗肝衰竭经验撷菁[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.11.009
LYU Chao, MAO Dewen, SHI Qinglan, et al. Experience of MAO Dewen Treating Hepatic Failure with Theory of "Toxin-Turbid Causing Liver Failure"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.11.009
吕超, 毛德文, 石清兰, 等. 毛德文“毒邪-毒浊致病”学说治疗肝衰竭经验撷菁[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.11.009 DOI:
LYU Chao, MAO Dewen, SHI Qinglan, et al. Experience of MAO Dewen Treating Hepatic Failure with Theory of "Toxin-Turbid Causing Liver Failure"[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2021.11.009 DOI:
毛德文教授在前人经验基础上,依据多年的临床及科研经验,总结出了肝衰竭“毒邪-毒浊致病”新学说,认为“毒邪”为致病之因,“毒浊”为病理产物,“阳虚”为病变之本;“毒”“浊”“虚”三者交互,瘀阻三焦,最终导致肝衰竭的发生与发展,高度揭示了疾病的本质。总结出“截断逆转”“扶阳培土”和“通腑开窍”三大治疗法则,凝练出急性(亚急性)肝衰竭、慢加急性肝衰竭“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”的以解毒化瘀颗粒配合外用大黄煎剂灌肠为核心的中医治疗方案。经临床应用证实,该方案具有较好的临床疗效。
On the basis of previous experience and years of clinical and scientific research experience, Professor MAO Dewen summed up the new theory of "toxin-turbid causing liver failure" , and believed that "toxin" was the cause of the disease, "turbid" was the pathological product, and "Yang deficiency" was the root of the disease.The interaction of "toxin" , "turbid" and "deficiency" and the stagnation of the three ultimately lead to the onset and development of liver failure, highly revealing the nature of the disease.It summarizes the three treatment principles of "truncation reversal" , "supporting Yang and cultivating the soil" and "dredging Fu organs and opening orifices" , and refines the "truncation reversal" treatment scheme of traditional Chinese medicine/integrated traditional Chinese and Western medicine dominated by Jiedu Huayu Granule(解毒化瘀颗粒)for acute(subacute)liver failure and chronic and acute liver failure, the traditional Chinese medicine/integrated traditional Chinese and Western medicine treatment scheme represented by Yinchen Zhufu Decoction(茵陈术附汤)for chronic liver failure with the "supporting Yang and cultivating the soil" method, and the traditional Chinese medicine treatment scheme centered on Jiedu Huayu Granule(解毒化瘀颗粒)combined with external Rhubarb decoction enema for hepatic encephalopathy with the "dredging Fu organs and opening orifices" method.The clinical application shows that the scheme has good clinical effect.
毛德文肝衰竭毒邪-毒浊致病经验撷菁
MAO Dewenliver failuretoxin-turbid causing liver failureclinical experience of famous physicians
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