糖尿病合并非酒精性脂肪肝的证治探讨

摘要

作者参阅古今文献，总结多年临床经验，提出糖尿病合并非酒精性脂肪肝的病机特点为“肝郁脾虚、湿热内阻，痰瘀互结”，其中脾气亏虚是其病理基础，肝气郁滞是其重要环节，湿热、痰瘀互结是其致病因素并贯彻始终。治疗当以健脾疏肝、清热祛湿、化痰活血为主，健脾益气治其本，调达肝气保证气机通畅，清热祛湿、化痰活血治其标。通过标本兼治可使脏腑得养，肢体得充，病情缓解，诸症转愈。%Based on ancient and modern literatures,and years of clinical experiences,we proposed that the pathogenesis characteristic of diabetic nonalcoholic fatty liver disease is “liver depression and spleen deficiency,damp-heat resistance,phlegm and blood stasis”. The spleen deficiency is its pathological basis,liver depression is the important part,stasis of damp heat,phlegm and blood are the pathogenic factors and exist in the whole process.Treatment for the disease shall give priority to tonifying spleen and soothing live,clear-ing heat and resolving dampness,transforming phlegm and activating blood.After treating both root and tip to tonify the viseara, strengthen the body,relieve the condition to bring cure.