Experience on treating damp‑heat accumulation syndrome in metabolic associated fatty liver disease with herbal pair of Tufuling and Shengtoucao

SHI Jia; YU Zhuo

doi:10.16305/j.1007-1334.2024.z20240506001

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Experience on treating damp‑heat accumulation syndrome in metabolic associated fatty liver disease with herbal pair of Tufuling and Shengtoucao

更新时间：2024-09-30

- Experience on treating damp‑heat accumulation syndrome in metabolic associated fatty liver disease with herbal pair of Tufuling and Shengtoucao
- Shanghai Journal of Traditional Chinese Medicine Vol. 58, Issue 10, Pages: 59-62(2024)
- 作者机构：
  
  1.上海中医药大学附属曙光医院传染病研究所（上海 201203）
  2.上海中医药大学附属曙光医院肝病科（上海 201203）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2024.z20240506001
  CLC：
- Published：10 October 2024，
  
  Received：06 May 2024，
- 稿件说明：
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石佳,余卓.土茯苓、省头草药对治疗湿热蕴结型代谢相关脂肪性肝病经验[J].上海中医药杂志,2024,58(10):59-62.

SHI Jia,YU Zhuo.Experience on treating damp‑heat accumulation syndrome in metabolic associated fatty liver disease with herbal pair of Tufuling and Shengtoucao[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(10):59-62.
石佳,余卓.土茯苓、省头草药对治疗湿热蕴结型代谢相关脂肪性肝病经验[J].上海中医药杂志,2024,58(10):59-62. DOI： 10.16305/j.1007-1334.2024.z20240506001.

SHI Jia,YU Zhuo.Experience on treating damp‑heat accumulation syndrome in metabolic associated fatty liver disease with herbal pair of Tufuling and Shengtoucao[J].Shanghai Journal of Traditional Chinese Medicine,2024,58(10):59-62. DOI： 10.16305/j.1007-1334.2024.z20240506001.

摘要

代谢相关脂肪性肝病（MAFLD）的核心病机为本虚标实，本虚为肝脾肾亏虚，标实则以痰、湿、瘀、热为要，临床常见湿热壅盛之象。土茯苓、省头草是临床治疗湿热蕴结型MAFLD的常用药对，二药配伍内外、上中下三焦同治，可清化痰湿秽浊、健脾和中。灵活使用土茯苓、省头草药对，可有效改善MAFLD患者的湿热证候。并附验案1则。

Abstract

The core pathogenesis of metabolic associated fatty liver disease （MAFLD） is deficiency in the root and excess in manifestations. The root deficiency pertains to deficiency of the liver， spleen， and kidneys， while the excess in manifestations is predominantly marked by phlegm， dampness， stasis， and heat， often presenting as damp-heat accumulation syndrome clinically. Tufuling （Smilacis Glabrae Rhizoma） and Shengtoucao （Melilotus Suaveolens Ledeb） are frequently used in combination to treat damp-heat accumulation syndrome in MAFLD. This herbal pair addresses both internal and external factors， and treat the upper， middle， and lower energizers simultaneously， effectively clearing phlegm， dampness， and filthy turbidity， while also strengthening the spleen and harmonizing the middle energizer. The flexible application of this herbal pair can significantly alleviate damp-heat symptoms in patients with MAFLD. A proven case is included for illustration.

关键词

代谢相关脂肪性肝病非酒精性脂肪性肝病湿热蕴结证土茯苓省头草佩兰药对中医药疗法

Keywords

metabolic associated fatty liver diseasenon-alcoholic fatty liver diseasedamp-heat accumulation syndromeTufuling （Smilacis Glabrae Rhizoma）Shengtoucao （Melilotus Suaveolens Ledeb）Peilan（Eupatorii Herba）herbal pairtraditional Chinese medicine therapy

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