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題 名 | 漢方醫學治療肝病應有的認識=Understanding the Treatment of Liver Disease by Chinese Medicine |
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作 者 | 林錦成; | 書刊名 | 北市中醫會刊 |
卷 期 | 12:2=44 民95.06 |
頁 次 | 頁17-28 |
分類號 | 413.34 |
關鍵詞 | 濕熱; 陽黃; 陰黃; 濕邪困脾; 肝鬱氣滯; 陽虛氣衰; 疫毒致陰陽雙損; Dampness and heat; Yanghuang; Yinhuang; Damp spleen; Obstacle of liver spirit; Yang insufficiency with weak spirit; Damage of Yin and Yang due to toxins; |
語 文 | 中文(Chinese) |
中文摘要 | 肝病若以西醫病理分類:則分成肝細胞性、膽汁鬱積性(阻塞型)、局部性塊性肝病(腫瘤型)三大類。中醫認為急性病毒性肝炎的主要發病機理,是『濕熱』。故治療上就要『清熱、利濕』,但由於濕熱之邪,個有陰陽屬性之別,運用清熱若是苦寒中藥如芩、連、柏等,雖能清熱,卻阻塞濕之運行,重傷脾氣,使脾受到損害。 而祛濕中藥如蒼朮、厚朴、藿香等藥性辛,取辛溫以化濕,氣行則濕除。但辛溫能助熱,與清熱衝突。而使景其治在利小便。故治療急性肝炎的濕熱證,取利而已,利尿既能除濕,又能使熱從小便排出,如此清熱與利濕間的矛盾得到和解。 中藥活血涼血在肝病早期上疏通肝中門脈循受阻,調整免疫反應的強度;在炎症後期,活血涼血藥物亦可抑制纖維化組織增生(肝硬化的前生),防止和減少肝炎的如免疫複合體機能發展(慢性發炎之因),也可防止長期肝區疼痛的後遺症。 中藥清熱解毒藥物除了具有廣泛抗菌消炎或抑制病毒作用外,並能增強細胞吞噬作用,對清除或緩解機體內毒素有效。 |
英文摘要 | The liver disease can be divided into liver cell type, the bile smoldering type (blocking type), local blocking type (tumor type) n Western Medicine. It thinks the main pathogenesis of the acute virus hepatitis is “dampness and heat”. So the treatment shall “clear away heat, remove dampness in Chinese Medicine”. But because the attribute of dampness and heat can be differentiated into Yin and Yang, although bitter and cold Chinese medicines such as Qin, Lotus roots, Cypress etc. can be used to clear away heat, they may block wet operation, injure and damage the spleen severely. The dampness dispelling Chinese medicines such as Atractylis, Magnolia officinalis, Lophanthus pilosa etc. are pungent and warm, which can be used to remove dampness. But they may conflict with clearing away beat. Jon-Jiang used them to promote the discharge of urine, so they can treat dampness and heat symptom of the acute hepatitis. The discharge of urine not only can remove dampness, but also can remove heat with urine. It can conciliate the contradiction between beat clearance and dampness removal. The invigorating and cooling blood Chinese medicines can be used to dredge the block of liver pulse circulation from the door obstruct in liver diseases early, and adjust the intensity of immune response. Upon the later stage or inflammation, the invigoration and cooling blood medicines can also be used to suppress the hyperplasia of fibrous organization (the early existence of cirrhosis), prevent and reduce the hepatitis and the development of immune complex 9the cause of chronic inflammation), and prevent the long-term pain of liver area. The heat clearance and detoxifying Chinese medicines not only can resist bacteria and diminish inflammation or suppressing virus function extensively, but also can strengthen the phagocytosis of cell, which is much effective to remove or alleviate the toxins in organism. |
本系統中英文摘要資訊取自各篇刊載內容。