非酒精性脂肪性肝病的中医药治疗
Ganboshi（2023）
Abstract
目前尚无治疗非酒精性脂肪性肝病(NAFLD)的特效药物,中医药遵循整体观念的思想,从辨证论治、经验方剂、中成药、中医外治法等方面进行了研究. 1.辨证论治是非酒精性脂肪性肝病临床治疗的核心基础 1.1 NAFLD治疗应分期论治,早期以疏肝理气、健脾和胃为主,中后期以化瘀散结、清热化湿、健脾益肾为主.NAFLD分为5证型:①湿浊内停证,推荐胃苓汤加减,形体肥胖、周身困重者,加绞股蓝、焦山楂;胸脘痞闷者,加藿香、佩兰.②肝郁脾虚证,推荐逍遥散加减,腹胀明显者,加枳壳、大腹皮;乏力气短者,加黄芪、党参.
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