·1024·2023年9月第43卷第9期JilinJournalofChineseMedicineSept.2023Vol.43No.9DOI:10.13463/j.cnki.jlzyy.2023.09.009关幼波重用生黄芪论治肝积经验赵诚仪，徐春军*，武璇（首都医科大学附属北京中医医院肝病科，北京100010）摘要：现代医学中“肝硬化”“肝癌”等慢性肝病均可归为中医“肝积”范畴，临床病因见于正气内虚、情志内伤、服药不当、饮食不洁等。关幼波认为肝积病机关键为正不抗邪，虚损生积。临证围绕“调理肝脾肾，中州要当先”和“审证必求因，气血为主题”特色学术理论，以“气血辨证”和“中州理论”双重视角分析疾病，指出治病求本必当以补为要，治疗原则为益气健脾畅中，使正气得盛，疾病趋之向愈。组方以大量生黄芪为君，调气和血，中宫得立，固本清源，正复邪祛。关键词：肝积；生黄芪；肝脾相关；气血；关幼波中图分类号：R256.42文献标志码：A文章编号：1003-5699(2023)09-1024-04GuanYoubo'sexperienceintreatingliverstagnationwithalargedoseofrawmilkvetchrootZHAOChengyi,XUChunjun*,WUXuan(DepartmentofHepatology,BeijingHospitalofTraditionalChineseMedicine,CapitalMedicalUniversity,Beijing100010,China)Abstract:Inmodernmedicine,chronicliverdiseasessuchas"livercirrhosis"and"livercancer"canallbeclassifiedunderthecategoryof"liverstagnation"intraditionalChinesemedicine,whoseclinicalcausesarerelatedtothedeficiencyofvitalqi,emotionaldisturbances,impropermedications,anduncleandiet.GuanyouBo,oneofthemostrenownedexpertsintraditionalChinesemedicine,believesthatthekeypathogenesisofliverstagnationliesintheinabilityofthebody'shealthyqitoresistpathogenicfactors,leadingtothepathogenaccumulationintheliver.Basedontheuniqueacademictheoriesthat"givingaprioritytoregulatingthemiddlejiaotoregulatetheliver,spleenandkidneys"and"figuringouttherootcausethroughasyndromedifferentiation,withqiandbloodasthehighlight",hedelvesintothediseasefromthedualperspectivesofdifferentiationofqiandbloodsyndromesandthemiddlejiaotheory,pointingoutthatthetreatmentofthediseaseshouldfocusonnourishingthebody,whileitstreatmentprincipleisnourishingqi,strengtheningthespleen,promotingthesmoothqiflowinthemiddlejiao,sothatthebody'shealthyqiisabundantandthedisease...
