黄宁宇 李悦 皮珊珊 糟小宾 李萌 叶永安 杜宏波

    〔摘要〕 肝纤维化是各种慢性肝病向肝硬化发展过程中的关键步骤和影响肝病预后的重要环节。叶永安教授在肝纤维化治疗实践中形成了具有一定个人特色的诊疗思路。肝纤维化治疗首重病因，以毒立论;次重病机，强调守方;善调气血，由重向轻;兼调他脏，注重脾肾等观点，构成了其肝纤维化诊疗的主要思路。

    〔关键词〕 肝纤维化;肝硬化;病毒;酒精性肝病;叶永安

    〔中图分类号〕R256.4; R575 ? ? ? ? ?〔文献标志码〕B ? ? ? 〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.07.019

    〔Abstract〕 Liver fibrosis is a key step in the development of various chronic liver diseases to cirrhosis and an important link that affects the prognosis of liver diseases. Professor Ye Yongan has formed his own unique diagnosis and treatment thinking in the treatment of liver fibrosis. In the treatment of liver fibrosis， the first point is that the cause of the disease is toxicity; the second point is that catching the major pathogenesis by keeping suitable prescription; the third point is that regulating the Qi and blood follows the order from heavier to lighter; the fourth point is that regulating the spleen and kidney is important for the treatment of live fibrosis. The above viewpoints constitute the main ideas of professor Ye Yongan's diagnosis and treatment of liver fibrosis. ......