Syndrome Differentiation and Treatment of Portal Vein Thrombosis Based on the Principle of "Presence of Cause Without Demise"

DONG Haihang; TU Yuying; YOU Ya; CHEN Yan; CAI Yujie; LI Xingrong; ZHANG Yinqiang

doi:10.13288/j.11-2166/r.2025.17.014

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Syndrome Differentiation and Treatment of Portal Vein Thrombosis Based on the Principle of "Presence of Cause Without Demise"

更新时间：2025-08-28

- Syndrome Differentiation and Treatment of Portal Vein Thrombosis Based on the Principle of "Presence of Cause Without Demise"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 17, Pages: 1822-1827(2025)
- 作者机构：
  
  中国中医科学院西苑医院，北京市海淀区西苑操场1号， 100091
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.17.014
  CLC：
- Received：16 March 2025，
  
  Revised：2025-07-01，
  
  Published：02 September 2025
- 稿件说明：
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董海航,涂钰莹,尤亚等.从“有故无殒”辨治门静脉血栓[J].中医杂志,2025,66(17):1822-1827.

DONG Haihang,TU Yuying,YOU Ya,et al.Syndrome Differentiation and Treatment of Portal Vein Thrombosis Based on the Principle of "Presence of Cause Without Demise"[J].Journal of Traditional Chinese Medicine,2025,66(17):1822-1827.
董海航,涂钰莹,尤亚等.从“有故无殒”辨治门静脉血栓[J].中医杂志,2025,66(17):1822-1827. DOI： 10.13288/j.11-2166/r.2025.17.014.

DONG Haihang,TU Yuying,YOU Ya,et al.Syndrome Differentiation and Treatment of Portal Vein Thrombosis Based on the Principle of "Presence of Cause Without Demise"[J].Journal of Traditional Chinese Medicine,2025,66(17):1822-1827. DOI： 10.13288/j.11-2166/r.2025.17.014.

摘要

基于《黄帝内经》中“有故无殒”思想，提出门静脉血栓的分层次辨治诊疗思路。针对“瘀毒痼结”之“故”，分破血、消瘀、和血三阶段施治：破血当剽悍直折，破血逐瘀，松动凝结死血；活血需涤浊消瘀，疏化并行，并减损峻药用量；和血以调气和血，养荣通络为主，标本同治防止疾病复发。同时，治疗上强调“衰其大半而止”，动态调整攻补比例，更兼顾痰、热、寒、虚等兼证，注重通过扶正固本，攻补兼施，通补相济以减毒增效，体现祛邪不伤正、扶正不留瘀的中医整体观与动态平衡思想，为门静脉血栓的中医诊疗提供思路。

Abstract

Based on

The Inner Canon of Yellow Emperor

（《黄帝内经》） principle of "presence of cause without demise"， a tiered syndrome differentiation and treatment approach for portal vein thrombosis is proposed. Addressing the "cause" of stubborn blood stasis toxin， treatment is divided into three stages， breaking blood stasis， eliminating stasis， and harmonizing blood. The breaking stage requires forceful intervention to disperse and dislodge congealed blood； the activating stage focuses on clearing turbidity， resolving stasis， and facilitating movement while reducing the dosage of strong medicines； the harmonizing stage emphasizes regulating

and blood， nourishing to promote circulation， and treating both manifestation and root

cause to prevent recurrence. Throughout treatment， the principle of "stopping after reducing the majority" is applied， with dynamic adjustment of the balance between attack and tonification， considering concomitant syndromes such as phlegm， heat， cold， and deficiency. Emphasis is placed on strengthening the body while eliminating pathogens， integrating attack and tonification to enhance efficacy and reduce toxicity， embodying the traditional Chinese medicine （TCM） holistic perspective and dynamic balance of eliminating pathogens without harming the vital

and strengthening the body without retaining stasis. This provides a therapeutic approach for portal vein thrombosis.

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Keywords

references

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