| 引用本文: |
郑云杰,张涛,孙克伟.孙克伟教授运用温法治疗慢加急性肝衰竭的经验[J].湖南中医药大学学报,2024,44(4):650-654[点击复制] |
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| 孙克伟教授运用温法治疗慢加急性肝衰竭的经验 |
| 郑云杰,张涛,孙克伟 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 总结孙克伟教授治疗慢加急性肝衰竭（acute-on-chronic liver failure，ACLF）的临床经验。孙克伟教授认为，ACLF以湿热瘀毒互结为标，脾阳虚损为本，脾虚可贯穿ACLF疾病全程，故治疗时多使用炮附子、白术、干姜等温药，全病程重视应用温法，并创制自拟温阳解毒化瘀汤，攻补兼施，逆转肝功能急性失代偿，临床效果显著，为ACLF的临床治疗提供参考与借鉴。 |
| 关键词: 慢加急性肝衰竭 温法 温阳解毒化瘀汤 名医经验 孙克伟 |
| DOI：10.3969/j.issn.1674－070X.2024.04.020 |
| 投稿时间：2024-01-23 |
| 基金项目:国家中医药管理局第七批全国老中医药专家学术经验继承项目（湘财社指[2022]29号）。 |
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| Professor SUN Kewei's experience in treating acute-on-chronic liver failure by warming method |
| ZHENG Yunjie,ZHANG Tao,SUN Kewei |
| (The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| This paper has summarized the clinical experience of Professor SUN Kewei in treating acute-on-chronic liver failure (ACLF).Professor SUN Kewei believes that dampness,heat,blood stasis,and toxin are the manifestations,and spleen-yang deficiency is the root of ACLF,with spleen deficiency running through the whole process of the disease.Therefore,in the treatment,medicines with warming property such as Paofuzi (Aconiti lateralis Radix Praeparata),Baizhu (Atractylodis Macrocephalae rhizoma),and Ganjiang (Zingiberis Rhizoma) are mainly used,with the warming method emphasized during the whole course.Meanwhile,Professor SUN has created self-drafted Wenyang Jiedu Huayu Decoction,which can reinforce healthy qi and remove pathogenic factors simultaneously to reverse liver function decompensation.With remarkable clinical effects,this formula can provide a reference for the clinical treatment of ACLF. |
| Key words: acute-on-chronic liver failure warming method Wenyang Jiedu Huayu Decoction famous physician's experience SUN Kewei |
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