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从土湿木郁理论论治肥胖型代谢相关脂肪性肝病OA

Treatment of obesity-related metabolic-associated fatty liver disease based on the theory of soil wet and wood depression

中文摘要英文摘要

肥胖型代谢相关脂肪性肝病是一种常见的慢性肝病,严重危害人类的健康.中医治疗肥胖型代谢相关脂肪性肝病效果尚佳,其发生与气机失调密切相关.本文基于黄元御所著《四圣心源》中的"土湿木郁"理论加以系统阐释.中气不足,脾土湿而不运,肝木抑则郁陷为主要病因病机,治以"燥土达木",以恢复中气斡旋之职.以期丰富脂肪性肝病的临证治疗,为临床诊治提供更多新思路.

Metabolic-associated fatty liver disease is a common chronic liver condition that poses a significant threat to human health.Traditional Chinese medicine has shown considerable efficacy in treating this disease,which is closely associated with the dysfunction of Qi movement.This paper provides a systematic interpretation based on the theory of"soil wet and wood depression"from Huang Yuanyu's Four Sages'Heart Source.The primary etiology and pathogenesis involve insufficient middle Qi,leading to dampness and impaired transportation in the Spleen Earth,as well as suppression and depressive sinking of the Liver Wood.The treatment principle focuses on"drying Earth and promoting Wood"to restore the pivotal function of the middle Qi.This approach aims to enrich the clinical management of fatty liver disease and offer new perspectives for its diagnosis and treatment.

范金睿;陈卓;李紫明;吴辉坤

湖北中医药大学中医学院(湖北 武汉,430061)湖北中医药大学中医学院(湖北 武汉,430061)湖北中医药大学中医学院(湖北 武汉,430061)湖北中医药大学中医学院(湖北 武汉,430061)

医药卫生

代谢相关脂肪性肝病肥胖土湿木郁

metabolic-associated fatty liver diseaseobesitysoil wet and wood depression

《中西医结合肝病杂志》 2026 (1)

86-89,4

10.3969/j.issn.1005-0264.2026.001.018

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