CAJ | 학술논문

肝纤维化中医理论源流包括病名、病因、病机、证治、方药、流派等方面。先秦时期阴阳五行学说对腹部疾病描述蕴含了古人有关肝纤维化的早期理解。秦汉时期中医典籍已有肝纤维化理、法、证、治、方、药、术记载，包括病名归属范围广、邪毒蕴结肝络病机、阴阳和合诊治境界及辨证论治---方证对应体系；魏晋隋唐医药学全面继承发展，“肝王以胃气为本”说、“推陈致新”药证论、热毒内蕴肝络证治观点相继提出；宋金元时期学派纷呈，见解独到，如气机郁结肝络证治观点、推崇脾胃学说；至明清，肝纤维化中医认识已比较完善成熟，经方时方通变论、痰瘀内阻肝络论、经络病证论等注重临证通变；近代至今，中西医汇通。中医为体，西医为用，发挥中医药疗效优势，主导着当前论治肝纤维化的研究。
간섬유화중의이론원류포괄병명、병인、병궤、증치、방약、류파등방면。선진시기음양오행학설대복부질병묘술온함료고인유관간섬유화적조기리해。진한시기중의전적이유간섬유화리、법、증、치、방、약、술기재，포괄병명귀속범위엄、사독온결간락병궤、음양화합진치경계급변증론치---방증대응체계；위진수당의약학전면계승발전，“간왕이위기위본”설、“추진치신”약증론、열독내온간락증치관점상계제출；송금원시기학파분정，견해독도，여기궤욱결간락증치관점、추숭비위학설；지명청，간섬유화중의인식이비교완선성숙，경방시방통변론、담어내조간락론、경락병증론등주중림증통변；근대지금，중서의회통。중의위체，서의위용，발휘중의약료효우세，주도착당전론치간섬유화적연구。
The origins of Chinese medicine theory on hepatic fibrosis include the term of disease,eti-ology,pathogenesis,syndrome differentiation and treatment,herbal formulas,academic schools,etc.In the ear-ly Qin Dynasty,the description of abdominal disease in five-element theory implies the early understanding on hepatic fibrosis by the ancient scholars.In Qin and Han Dynasties,the classical works of Chinese medicine had the records on the theory,principle,syndrome,treatment,therapeutic method,medicines and techniques and included the classification of the term of disease,the pathogenesis as toxic pathogen stagnating in the liv-er,treatment based on the harmonization of yin and yang and determination of treatment based on syndrome differentiation-the coordination of herbal formulas and syndromes.In Wei,Jin,Sui and Tang Dynasties,the medicine had been entirely inherited and developed.It was proposed that“stomach qi is the root of liver”,the theory of“refreshing by eliminating”and treatment based on stagnation of heat and toxin in the liver.In Song, Jin and Yuan Dynasties,there were different academic schools,such as qi stagnation in the liver,and spleen and stomach theory.In Ming and Qing Dynasties,the understanding of hepatic fibrosis was getting perfect and matured in traditional Chinese.The clinical syndromes were differentiated in terms of the coordination of clas-sical formula and current formula,retention of phlegm and stasis in the liver and meridian-collateral disor-ders.In modern times,Chinese and western medicines are integrated.Chinese medicine is the root and west-ern medicine is practical,in which Chinese medicine plays its advantages in the efficacy and leads the study on the present theory of hepatic fibrosis.