基于湿热理论探究脂肪肝辨治思路

Based on the Theory of Dampness and Heat, the Idea of Fatty Liver Differentiation and Treatment Was Explored

摘要: 脂肪肝中医认为属于“肝癖”“脂满”等范畴，是常见肝脏疑难病之一。历代医家大多认为痰、湿、瘀、积为脂肪肝的主要致病因素，也基于此辨证论治取得不错的疗效。但随着人们生活水平质量的提升，过度饮酒、嗜食肥甘等生活习惯导致脾失运化，湿热内生，机体代谢能力降低，湿热膏脂堆积于肝脏而形成脂肪肝，故湿热逐渐成为现代脂肪肝疾病形成的主要致病因素。因此本文基于探讨“湿热理论”的发生发展及其与脂肪肝的密切联系，从湿重于热、热重于湿、湿热并重三种类型对于脂肪肝进行辨治分析，为临床治疗脂肪肝提供了新的思路。

Abstract: Fatty liver is considered by traditional Chinese medicine to belong to the categories of “liver fetish” and “fat fullness”, and is one of the common liver diseases. Most of the doctors of the past generations believed that phlegm, dampness, stasis and accumulation were the main pathogenic factors of fatty liver, and based on this, the syndrome differentiation and treatment have achieved good results. However, with the improvement of people’s living standards, excessive drinking, craving for fat and sweet and other lifestyle habits lead to spleen loss, endogenous dampness and heat, reduced metabolic ability of the body, and the accumulation of damp heat and fat in the liver to form fatty liver, so damp heat has gradually become the main causative factor for the formation of modern fatty liver diseases. Therefore, based on the discussion of the occurrence and development of the “damp-heat theory” and its close relationship with fatty liver, this paper analyzes the differentiation and treatment of fatty liver from three types: dampness is heavier than heat, heat is heavier than dampness, and damp-heat is equal to dampness, which provides a new idea for the clinical treatment of fatty liver.