Staged Differentiation and Treatment of Liver Cirrhosis with Newly Modified <italic style="font-style: italic">Chaihu Biejia Decoction</italic> （柴胡鳖甲汤）

CAI Yujie; DONG Haihang; WANG Dongling; ZHANG Yinqiang

doi:10.13288/j.11-2166/r.2024.10.016

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Staged Differentiation and Treatment of Liver Cirrhosis with Newly Modified Chaihu Biejia Decoction （柴胡鳖甲汤）

更新时间：2024-05-13

- Staged Differentiation and Treatment of Liver Cirrhosis with Newly Modified Chaihu Biejia Decoction （柴胡鳖甲汤）
- Journal of Traditional Chinese Medicine Vol. 65, Issue 10, Pages: 1072-1076(2024)
- 作者机构：
  
  1.山西中医药大学，山西省太原市晋祠路一段89号，030000
  2.中国中医科学院西苑医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2024.10.016
  CLC：
- Received：21 October 2023，
  
  Revised：2024-03-07，
  
  Published：17 May 2024
- 稿件说明：
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蔡雨洁,董海航,王冬凌等.运用新修柴胡鳖甲汤加减分期辨治肝硬化[J].中医杂志,2024,65(10):1072-1076.

CAI Yujie,DONG Haihang,WANG Dongling,et al.Staged Differentiation and Treatment of Liver Cirrhosis with Newly Modified Chaihu Biejia Decoction （柴胡鳖甲汤）[J].Journal of Traditional Chinese Medicine,2024,65(10):1072-1076.
蔡雨洁,董海航,王冬凌等.运用新修柴胡鳖甲汤加减分期辨治肝硬化[J].中医杂志,2024,65(10):1072-1076. DOI： 10.13288/j.11-2166/r.2024.10.016.

CAI Yujie,DONG Haihang,WANG Dongling,et al.Staged Differentiation and Treatment of Liver Cirrhosis with Newly Modified Chaihu Biejia Decoction （柴胡鳖甲汤）[J].Journal of Traditional Chinese Medicine,2024,65(10):1072-1076. DOI： 10.13288/j.11-2166/r.2024.10.016.

摘要

以刘渡舟教授创制的柴胡鳖甲汤为基础方，化裁拟定新修柴胡鳖甲汤。提出肝硬化辨治可分三期，即肝硬化前期积之将成，肝硬化中期积之已成，肝硬化后期变证已现。临证谨守病机，辨此三期中脏腑、气血、虚实、寒热之偏重，以新修柴胡鳖甲汤为基础方加减化裁。肝硬化前期治以活血化瘀、清利湿热，同时根据病因不同灵活加减；中期治以软坚散结、化瘀清热，兼以健脾补肾；后期正气衰败，病重邪盛，治以扶正补虚、缓攻渐消，同时根据变证表现不同分别加用利水、止血、泄浊、开窍药组以治其标。

Abstract

Based on

Chaihu Biejia Decoction

（柴胡鳖甲汤， CBD） created by Professor LIU Duzhou， a newly modified CBD has been formulated. The differentiation and treatment of liver cirrhosis can be divided into three stages， that is， the early stage when liver cirrhosis is about to be， the middle stage when liver cirrhosis is formulated after long accumulations， and the late stage when liver cirrhosis has been transfor

med. Following the pathogenesis， it is recommended to differentiate the abnormal exuberance of

zang

（脏腑） organs，

or blood， deficiency or excess， cold or heat in three stages， and newly modified CBD is taken as the basic formula for further modifications. In early stage of liver cirrhosis， the treatment is mainly to invigorate blood and dissolve stasis， clear dampness and heat， and modifications should be made in accordance with the different causes flexibly. The treatment for the middle stage is to soften hardness and dissipate masses， dissolve stasis and clear heat， while fortifying the spleen and supplementing kidneys is accompanied. In the later stage when the healthy

declines， and the disease is severe and evil prevails， the treatment is to reinforce healthy

and supplement deficiency， take mild purgation and dispersion， and medicinals to promote urination， stanch bleeding， direct the turbid downward， or open the orifices can be added in accordance with the syndromes so as to treat the branch.

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references

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Related Author

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Related Institution

Henan University of Chinese Medicine

The First Affiliated Hospital of Henan University of Chinese Medicine

Shanxi University of Chinese Medicine

Xiyuan Hospital，China Academy of Chinese Medical Sciences

School of Traditional Chinese Medicine，Beijing University of Chinese Medicine

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Staged Differentiation and Treatment of Liver Cirrhosis with Newly Modified Chaihu Biejia Decoction （柴胡鳖甲汤）

DOI：10.13288/j.11-2166/r.2024.10.016

摘要

Abstract

关键词

Keywords

references