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尹菁, 田晓玲, 郭丰荥, 蔡紫薇, 袁长津, 陈斌.全国名中医袁长津教授论治慢性肝病的经验撷菁[J].湖南中医药大学学报,2025,45(8):1567-1571[点击复制] |
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| 全国名中医袁长津教授论治慢性肝病的经验撷菁 |
| 尹菁,田晓玲,郭丰荥,蔡紫薇,袁长津,陈斌 |
| (湖南中医药大学第一中医临床学院, 湖南 长沙 410208;湖南中医药大学第一附属医院, 湖南 长沙 410007;湖南中医药大学第二附属医院, 湖南 长沙 410011) |
| 摘要: |
| 总结全国名中医袁长津教授辨治慢性肝病的核心学术经验。袁长津教授认为，邪毒侵袭是疾病始动之因，肝阳失用、肝体失养乃核心病机，正气亏虚则为终末转归，由此凝练“毒损肝络、体用失衡、正气亏虚”的核心病机演变规律。据此确立“调和阴阳、通闭解结、扶正祛邪”为根本治则。分期论治：活动期治以清肝解毒、清热利湿，创制“清肝健脾解毒汤”；进展期重在疏肝化瘀、健脾降浊，化裁“疏肝健中降脂方”；终末期注重补益正气，善用太子参、黄芪等甘平之品固护本元。袁长津教授尤重解构经方药对，其遣方用药体现了“疏不耗气、清不伤阴、补不留邪”的鲜明学术特色，临床疗效显著。 |
| 关键词: 慢性肝病 分期论治 清肝健脾解毒汤 疏肝健中降脂方 名医经验 袁长津 学术思想 |
| DOI：10.3969/j.issn.1674-070X.2025.08.026 |
| 投稿时间：2025-04-15 |
| 基金项目:全国名老中医药专家传承工作室建设项目(国中医药人教函[2022]75号) |
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| Essentials of National Famous TCM Physician YUAN Changjin's clinical experience in treating chronic liver disease |
| YIN Jing, TIAN Xiaoling, GUO Fengxing, CAI Ziwei, YUAN Changjin, CHEN Bin |
| (The First Clinical School of Chinese Medicine, Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;The Second Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410011, China) |
| Abstract: |
| To summarize the core clinical expertise of National Famous TCM Physician YUAN Changjin in treating chronic liver disease. Professor YUAN identifies invasion by pathogenic toxins as the initiating cause of the disease, dysfunction of the liver yang and impaired nourishment of the liver body as the core pathogenesis, and healthy qi deficiency as the terminal outcome.Based on this understanding, he has refined the a core model of disease progression as "toxic impairment of the liver collaterals,disharmony between the liver’s property and function, and deficiency of healthy qi". Accordingly, the fundamental treatment principles are harmonizing yin and yang, unblocking stagnations and resolving pathological accumulations, and reinforcing healthy qi to eliminate pathogenic factors. In clinical practice, Professor YUAN employs stage-based treatment: in the active stage, the focus is on clearing the liver and removing toxins, clearing heat and draining dampness, for which he has developed the formula Qinggan Jianpi Jiedu Decoction; in the progressive stage, the strategy shifts to soothing the liver and transforming stasis,strengthening the spleen, and reducing turbidity, for which he has tailored Shugan Jianzhong Jiangzhi Formula; in the terminal stage, treatment emphasizes reinforcing healthy qi, for which he skillfully used Chinese medicines with sweet flavor and neutral property such as Taizishen（Pseudostellariae Radix） and Huangqi（Astragali Radix） to consolidate the body’s fundamental vitality.Professor YUAN particularly emphasizes the deconstruction of medicinal pairs in classic formulas. His prescription patterns reflect a distinct academic characteristic of "soothing the liver without consuming qi, clearing heat without injuring yin, and tonifying deficiency without retaining pathogenic factors," resulting in significant clinical efficacy. |
| Key words: chronic liver disease stage-based treatment Qinggan Jianpi Jiedu Decoction Shugan Jianzhong Jiangzhi Formula famous physician’s experience YUAN Changjin academic thought |
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