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基于"肝左升,肺右降"论治非酒精性脂肪性肝炎OA

Treatment of Non-Alcoholic Steatohepatitis Based on"Liver Qi Ascending on Left and Lung Qi Descending on Right"

中文摘要英文摘要

非酒精性脂肪性肝炎热毒、痰浊、膏脂的病因、证候表现与现代医学中非酒精性脂肪性肝炎脂肪肝、纤维化改变具有相关性.《金匮要略》开创了"从肺治肝"的先河,肝肺气机升降在维持人体气机通利中至关重要,肝病与肺气失调关系密切."脏腑相合"理论认为,人体各个脏器之间相互关联、依存,形成了一个相互联系的整体,肺-肠-肝轴代表了肺、肠、肝之间的关联性,为"从肺治肝"提供了理论基础.此外,以重视"左升右降"作为出发点"从肺肠治肝",并非否定治肝在非酒精性脂肪性肝炎中的作用,而是强调非酒精性脂肪性肝炎在发生、转化过程中"肝实"的特点,要充分考虑到"肝左升,肺右降"的气机运动规律,结合人体五行气机互通特点从肺-肠-肝轴辨证治疗.

The causes and syndromes of Heat-Toxin,Phlegm-Dampness,and grease in non-alcoholic steatohepatitis(NASH)are related to the fatty liver and fibrosis changes in modern medicine.In Jin Gui Yao Lue,the idea of"treating the Liver disease from per-spective of Lung"was first proposed,highlighting that the ascending of liver Qi and descending of Lung Qi is crucial for maintaining smooth Qi flow in the body,so Liver disease is closely related to Lung Qi imbalance.In theory of"harmony of the Zang and Fu",it is believed that all Zang and Fu are interconnected and interdependent,forming an integrated system.The Lung-Intestine-Liver axis re-presents the interconnection between the Lung,Intestines and Liver,providing a theoretical basis for"treating the Liver disease from perspective of the Lung".In addition,focusing on the"Qi ascending from the left and Qi descending from the right"principle as a start-ing point to"treat the Liver disease via the Lung and Intestine"does not deny the importance of Liver treatment in NASH,but emphasi-zes the characteristics of"Liver excess"in the development and transformation of NASH.It's important to fully consider the Qi move-ment pattern of"Liver Qi ascending on the left,Lung Qi descending on the right"and combine it with the intercommunication of the Five Elements to use the Lung-Intestine-Liver axis for differential treatment.

韩金花;郑彩霞;黄风雷;刘洋;王浩

淮北市中医医院,安徽 淮北 235099淮北市中医医院,安徽 淮北 235099淮北市中医医院,安徽 淮北 235099中国药科大学第一附属医院,江苏 南京 211100安徽中医药大学,安徽 合肥 230012

医药卫生

非酒精性脂肪性肝炎"肝左升,肺右降"肺-肠-肝轴"从肺治肝"调肺疏肝法涤浊化瘀法

《中医学报》 2026 (7)

1450-1454,5

安徽省省级中医发展专项资金项目{皖卫中医药发[2020]1号}2023年安徽省中医药科技攻关专项项目(202303a07020006)

10.16368/j.issn.1674-8999.2026.07.215

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