基于圆运动理论探讨下气汤在非酒精性脂肪性肝病的应用

Application of Xiaqi Decoction in Non-Alcoholic Fatty Liver Disease Based on the Theory of Circular Movement

摘要: 非酒精性脂肪性肝病(non-alcoholic fatty liver disease, NAFLD)是一种排除酒精摄入和肝损伤的肝病，病因与肥胖、不良生活习惯相关，发病隐匿常无明显症状。现代医学主要以改变生活方式和药物治疗为主，中医药治疗侧重于调理气机运转。圆运动理论分析NAFLD的病机主要包括脾虚湿滞、肝郁气滞、肾寒不济等问题。下气汤是一种治疗NAFLD的中药方剂，通过调理气机运行四维，疏肝降肺、温补暖肾，恢复气机正常运转，达到治疗NAFLD的效果。治疗关键在于和胃运脾、疏肝降肺、温补暖肾，以达到升降回环、如环无端的治疗效果。治疗要以培土除湿、补气调理为主，加强气机升降有序，达到驱痰祛瘀的目的。

Abstract: Non-alcoholic fatty liver disease (NAFLD) is a liver disease that excludes alcohol intake and liver injury as causes. It is related to obesity and unhealthy lifestyle habits, often presenting with hidden onset and no obvious symptoms. Modern medicine mainly focuses on lifestyle changes and medication for treatment, while traditional Chinese medicine emphasizes regulating the flow of vital energy. Analyzing the pathogenesis of NAFLD from the perspective of the theory of circular motion, it mainly involves issues such as spleen deficiency with dampness stagnation, liver depression with qi stagnation, and kidney coldness with deficiency. Xiaqi Tang is a Chinese herbal formula used in the treatment of NAFLD, aimed at regulating the flow of vital energy in the four dimensions, soothing liver and descending lungs, warming and tonifying kidneys to restore normal energy circulation, achieving the therapeutic effect of NAFLD. The key to treatment lies in regulating the spleen and stomach functions, soothing the liver and descending the lungs, and warming and tonifying the kidneys to achieve the treatment effect of circular motion and endless circulation. Treatment should focus on eliminating dampness, tonifying the spleen, and regulating vital energy, strengthening the orderly rise and fall of energy circulation to achieve the goal of dispelling phlegm and removing stasis.