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王若涵, 谢晶日, 梁国英.谢晶日教授基于“痞坚之处，必有伏阳”论治慢性乙型肝炎之经验[J].湖南中医药大学学报英文版,2025,45(4):704-710.[Click to copy
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| 谢晶日教授基于“痞坚之处，必有伏阳”论治慢性乙型肝炎之经验 |
| 王若涵,谢晶日,梁国英 |
| (黑龙江中医药大学, 黑龙江 哈尔滨 150040;黑龙江中医药大学附属第一医院, 黑龙江 哈尔滨 150040) |
| 摘要: |
| 慢性乙型肝炎（CHB）是指由乙型肝炎病毒（HBV）持续感染引起的肝脏慢性炎症性疾病，其病情复杂多变，缠绵难愈。谢晶日教授结合经典古籍及自身临床经验，基于“痞坚之处，必有伏阳”论治CHB，认为伏阳为因，痞坚为果，将伏阳作为病理基础，认为此乃疾病初始；进而产生湿、热、痰、瘀，疾病随之进展，在各类病理因素不断蓄积之下，渐化成毒，表示疾病已进入后期；肝脏形体败坏，功能丧失，最终成积，即积为终末期结局。故提出，通调阳气以除痞坚，针对各个阶段分而论之，具体为温阳固本以培元，调阳疏透以清热，通阳调气以祛滞，助阳清源以解毒，护阳黜浊以除积，分别遣方选药，效如桴鼓，并予案例以佐证。 |
| 关键词: 慢性乙型肝炎 痞坚 伏阳 名医经验 谢晶日 |
| DOI：10.3969/j.issn.1674-070X.2025.04.018 |
| Received:November 27, 2024 |
| 基金项目:黑龙江省中医药经典普及化专项课题项目（ZYW2024-047）；全国中医临床特色技术传承骨干人才培养项目（国中医药人教函〔2019〕36号）。 |
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| Professor XIE Jingri's experience in treating chronic hepatitis B based on the theory of "painful and hard areas always harboring stagnant yang qi" |
| WANG Ruohan, XIE Jingri, LIANG Guoying |
| (Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| Chronic hepatitis B (CHB) is a chronic inflammatory disease of the liver caused by persistent infection of hepatitis B virus (HBV). The condition is complex, variable, and often difficult to cure. Professor XIE Jingri, drawing on classical texts and his own clinical experience, treats CHB based on the theory of "painful and hard areas always harboring stagnant yang qi." He believes that the stagnant yang qi is the cause, while the pain and hardness are the consequences. The stagnant yang qi is considered the pathological basis, representing the initial stage of the disease. This then gives rise to dampness, heat, phlegm, and blood stasis, leading to the progression of the disease. As these pathological factors continue to accumulate, they gradually transform into toxicity, indicating that the disease has entered its later stages. With the destruction of the liver’s structure and loss of function, the condition eventually progresses to tangible masses, which represents the end-stage outcome. Therefore, it is proposed that the regulation of yang qi is essential to eliminate pain and hardness. The treatment approach is tailored to each stage of the disease as follows: warming yang and cultivate primordial qi to strengthen the body, regulating yang qi and soothing the liver to clear heat, unblocking the flow of yang qi to remove stagnation, reinforing yang and eliminating pathogical products to resolve toxicity, or protecting yang and removing turbidity to eliminate masses. Specific formulas and herbs are selected accordingly, yielding highly effective results. A case study is provided as supporting evidence. |
| Key words: chronic hepatitis B pain and hardness stagnant yang qi famous doctors' experience XIE Jingri |
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