中医药治疗肝性脑病的临床思路概述

Overview of Clinical Ideas in the Treatment of Hepatic Encephalopathy with Chinese Medicine

摘要: 肝性脑病作为严重肝病的常见并发症，中医药在改善其临床症状、调节代谢紊乱等方面表现出独特的优势。文章通过对肝性脑病的病因病机、中医药治疗肝性脑病的作用机制以及中医药治疗方法(包括中药复方、针灸、中药灌肠等)的阐述，探讨中医药在改善患者肝脏功能、减轻临床症状、降低血氨水平、提高患者生活质量等方面的作用机制与应用价值，为肝性脑病的治疗提供参考与新思路。

Abstract: Hepatic encephalopathy, as a common complication of severe liver disease, has shown unique advantages of traditional Chinese medicine (TCM) in improving clinical symptoms and regulating metabolic disorders. In this paper, through the elaboration of the etiology and pathogenesis of hepatic encephalopathy, the mechanism of Chinese medicine in the treatment of hepatic encephalopathy, and the therapeutic methods of traditional Chinese medicine (including Chinese herbal compound prescription, acupuncture and moxibustion, Chinese herbal enema, etc.), we discussed the mechanism and value of the application of traditional Chinese medicine in improving liver function, alleviating of clinical symptoms, lowering of blood ammonia level, and enhancing patients’ quality of life, so as to provide a reference and new way of thinking for the treatment of hepatic encephalopathy.