国医大师黄瑾明从“三道两路”治慢性肝病经验

The Experience of National Master of Traditional Chinese Medicine Huang Jinming in Treating Chronic Liver Diseases from the Perspective of “Three Channels and Two Roads”

摘要: 壮医认为肝脏在三道两路理论中主要归属谷道。黄瑾明教授提出毒、虚是发病的病因，三道两路失调是主要病机所在。黄瑾明教授认为三道两路不通，浊气内生，浊气与毒交接壅塞于肝，肝气受损，气机不畅，气血生化失常，正毒相争，机体渐虚，发为慢性肝病。同时认为谷道毒正相争程进展关键。临证加强三道两路气机调理，治疗以调气为主，使肝气得疏，浊气消除，天、人、地三部同步，正气恢复，毒邪削弱。治疗此病多选择辛温药物入谷道调气，结合医案分析，对于黄教授治疗的临证经验进行总结。

Abstract: Zhuang Medicine holds that the liver is mainly located in the “Three Passes and Two Channels” theory in the liver meridian. Professor Huang Jinming proposed that toxins and deficiencies are the causes of disease onset, and the imbalance of the “Three Passes and Two Channels” is the main pathogenesis. Professor Huang Jinming believes that when the “Three Passes and Two Channels” are blocked, turbid qi is generated internally, and turbid qi and toxins intermingle and obstruct the liver. The liver qi is damaged, the qi mechanism is not smooth, the generation and transformation of qi and blood are abnormal, and the positive and negative toxins contend. The body gradually becomes deficient and develops into chronic liver diseases. At the same time, he believes that the conflict between toxins and positive qi in the liver meridian is the key to the progression of the disease. In clinical practice, strengthening the regulation of qi in the “Three Passes and Two Channels” is emphasized, and the treatment focuses on regulating qi. This enables the liver qi to be unobstructed, turbid qi to be eliminated, and the three parts of heaven, man and earth to be synchronized. The positive qi is restored, and the toxins and negative qi are weakened. For this disease, most of the time, pungent-warm drugs are selected to enter the liver meridian to regulate qi. Combined with the analysis of medical cases, the clinical experience of Professor Huang Jinming’s treatment is summarized.