基于“六经皆有表证”论治肝硬化黄疸

Discussion on the Treatment of Jaundice Caused by Liver Cirrhosis Based on the The-ory of “All Six Meridians Have External Man-ifestations”

摘要: 黄疸是肝硬化发展过程中的常见并发症，甚至可能出现肝衰竭。普遍认为，“诸病黄家，但利其小便”，治疗黄疸以清利在里的湿热为多，而黄古叶教授认为，黄家表实，用麻黄连翘赤小豆汤；表虚用桂枝加黄芪汤，提示黄疸也有在表之说。治疗当以运转气机，调和营卫，行湿退黄为主要原则。基于《内经》《伤寒论》提出辨六经，开阖枢运转气机，通三阳使得内外阳气输布，温养三阴以化生输布津血，本研究将采用文献研究和临床观察相结合的方法，收集相关文献并分析其中关于“六经皆有表证”理论在治疗肝硬化黄疸中应用。作一初步探讨，以供临床参考。

Abstract: Jaundice is a common complication in the development of liver cirrhosis, and may even lead to liver failure. It is generally believed that “all diseases of the yellow family can be alleviated by promoting urination.” The treatment of jaundice usually focuses on clearing damp-heat from the interior. However, Professor Huang Guye believes that jaundice also has exterior manifestations, and sug-gests using Ephedra Forsythia Adzuki Bean Decoction for treatment. For cases with deficiency in the exterior, Cinnamon Twig and Astragalus Decoction is recommended. The treatment should focus on promoting the smooth flow of qi, regulating the harmony of nutrients and defense, and eliminating dampness to resolve jaundice. Based on the theories presented in “Yellow Emperor’s Inner Canon” and “Treatise on Febrile Diseases,” the six meridians are distinguished, and the opening and closing of pivotal points promote the smooth flow of qi. This facilitates the distribution of internal and ex-ternal yang qi and nourishes the three yin meridians to promote the distribution of body fluids and blood. This study will adopt a combination of literature research and clinical observation to collect relevant literature and analyze the application of the theory of “all six meridians have external manifestations” in the treatment of jaundice in liver cirrhosis. It aims to provide a preliminary ex-ploration for clinical reference.