首页|期刊导航|中西医结合肝病杂志|浅析高月求教授辨症用药治疗肝病常见症状的临床经验

浅析高月求教授辨症用药治疗肝病常见症状的临床经验OA

A preliminary analysis of professor Gao Yueqiu's clinical experience in treating common symptoms of liver disease with medication based on symptom differentiation

中文摘要英文摘要

在慢性肝病诊疗中,高月求教授注重践行"病-证-症"相结合的临证思路,不仅强调辨病施治以统观疾病全局,辨证论治以洞察病机演变,更在辨症用药方面积累了独到经验.通过精准辨析胁痛、乏力、黄疸、瘙痒、口苦等常见症状,总结出多组效验药对,如郁金配苏梗疏肝行气止胁痛,黄芪合白术健脾益气疗虚乏,茵陈配伍赤小豆清热利湿以退黄等.其辨症用药特点在于:以症状为精准干预的切入点,选用力专效宏的药对快速缓解患者痛苦;同时,深入剖析症状所反映的病机与证候内涵,确保对症治疗紧密服务于病证的本质调理.该方法实现了即时症状调控与远期病机改善的有机结合,充分体现了中医临床中精准干预与整体调治、短期效益与长期疗效相统一的诊疗思维,为慢性肝病的综合管理提供了切实可行的临证范式.

In the diagnosis and treatment of chronic liver disease,Professor Gao Yueqiu pays attention to the clinical thinking of combining"disease-syndrome-symptom"".This idea not only emphasizes the treatment based on disease differentiation to observe the overall situation of the disease,the treatment based on syndrome differentiation to insight into the evolution of the pathogenesis,but also accumulates unique experience in the treatment based on syndrome differentiation.Through accurate analysis of common symptoms such as hypochondriac pain,fatigue,jaundice,itching,and bitter taste,multiple sets of effective herb pairs were summarized,such as Yujin paired with Sugeng to soothe the liver and regulate qi for hypochondriac pain,Huangqi paired with Baizhu to invigorate the spleen and replenish qi for deficiency-induced fatigue,and Yinchen paired with Chixiaodou to clear heat and promote diuresis for jaundice.The characteristics of syndrome differentiation and medication are as follows:taking symptoms as the entry point of precise intervention,and selecting the herb pair with strong specific effect to quickly relieve the pain of patients;at the same time,in-depth analysis of the pathogenesis and syndrome connotation reflected by the symptoms,to ensure that symptomatic treatment closely serves the essential conditioning of the disease.This method realizes the organic combination of immediate symptom regulation and long-term pathogenesis improvement,fully embodies the diagnosis and treatment thinking of the unity of precise intervention and overall treatment,short-term benefit and long-term effect in the clinical practice of traditional Chinese medicine,and provides a feasible clinical paradigm for the comprehensive management of chronic liver disease.

兰小路;吴眉;刘晓亲;凌晓瑜;饶琪;高月求

上海市浦东新区沪东社区卫生服务中心中医全科(上海,200129)上海中医药大学附属曙光医院肝病科上海市浦东新区沪东社区卫生服务中心中医全科(上海,200129)上海市浦东新区沪东社区卫生服务中心中医全科(上海,200129)上海市浦东新区沪东社区卫生服务中心中医全科(上海,200129)上海中医药大学附属曙光医院肝病科

医药卫生

辨症用药药对高月求慢性肝病

symptom differentiation medicationherb pairsGao Yueqiuchronic liver disease

《中西医结合肝病杂志》 2026 (3)

361-364,4

上海市浦东新区卫生系统优秀社区适宜人才培养计划(No.PWRs2024-17)上海市名中医工作室基层工作站建设(No.JCGZZ-2023050)上海市中医特色专病专科(社区)能力建设(No.SQZBZK-23-33)浦东新区中医药传承工作室建设项目(No.PDZY-2025-0203)

10.3969/j.issn.1005-0264.2026.003.018

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