Article(id=1307264896966611967, tenantId=1146029695717560320, journalId=1302318977290174537, issueId=1307264617252680149, articleNumber=null, orderNo=null, doi=10.19664/j.cnki.1002-2392.260157, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1750348800000, receivedDateStr=2025-06-20, revisedDate=1773676800000, revisedDateStr=2026-03-17, acceptedDate=null, acceptedDateStr=null, onlineDate=1789605839244, onlineDateStr=2026-09-17, pubDate=1787155200000, pubDateStr=2026-08-20, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1789605839244, onlineIssueDateStr=2026-09-17, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1789605839244, creator=13701087609, updateTime=1789605839244, updator=13701087609, issue=Issue{id=1307264617252680149, tenantId=1146029695717560320, journalId=1302318977290174537, year='2026', volume='54', issue='8', pageStart='1', pageEnd='128', issueExtLink='null', onlineDate='null', pubDate='1787155200000', pubDateStr='2026-08-20', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1789605772555, creator='13701087609', updateTime=1789605772555, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=36, endPage=40, ext={EN=ArticleExt(id=1307264898728219648, articleId=1307264896966611967, tenantId=1146029695717560320, journalId=1302318977290174537, language=EN, title=Professor Zhang Tiezhong's Treatment of Senile Hyperlipidemia (Spleen Deficiency and Liver Stagnation) by Simultaneously Regulating Liver and Spleen for Water-Grain Essence Metabolism, columnId=null, journalTitle=Acta Chinese Medicine and Pharmacology, columnName=null, runingTitle=null, highlight=null, articleAbstract=

Hyperlipidemia in the elderly is a common metabolic disorder with a high incidence rate, serving as a significant risk factor for cardiovascular diseases. Professor Zhang Tiezong believes that the pathogenesis of hyperlipidemia in the elderly is due to spleen deficiency and liver stagnation, leading to internal dampness turbidity, which originates from the spleen's failure to transport and transform water and grain essence properly. The liver's failure to regulate qi leads to qi stagnation, further blocking the distribution of water and grain essence, ultimately resulting in phlegm turbidity and blood stasis. He adopts the treatment principle of " simultaneously regulating the liver and spleen" and has developed the " Hexie Decoction" specifically for treating hyperlipidemia in the elderly with spleen deficiency and liver stagnation syndrome. The combination of herbs in the formula works together to invigorate qi, strengthen the spleen, resolve dampness, eliminate turbidity, soothe the liver, and regulate lipids. This theory and formula start by regulating the functions of the liver and spleen, promoting the transportation and transformation of water and grain essence, thereby inheriting and innovating traditional Chinese medicine theory for the treatment of hyperlipidemia in the elderly and providing new insights.

, authors=Chang LIU¹, Qiubing LI², Tiezhong ZHANG^{2, *}, authorsList=Chang LIU, Qiubing LI, Tiezhong ZHANG, authorCompany=null, correspAuthors=Tiezhong ZHANG, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1307264899235729408, articleId=1307264896966611967, tenantId=1146029695717560320, journalId=1302318977290174537, language=CN, title=张铁忠教授从肝脾同调水谷精微论治(脾虚肝郁证)老年高脂血症, columnId=1303760928365892493, journalTitle=中医药学报, columnName=临证体会, runingTitle=null, highlight=null, articleAbstract=

老年高脂血症是常见的代谢性疾病，发病率较高，是增加心血管疾病风险的重要因素。张铁忠教授认为老年高脂血症病机为脾虚肝郁、湿浊内生，源于脾失健运致水谷精微运化失常，肝失疏泄则气机不畅，进一步阻滞水谷精微输布，终致痰浊瘀阻。其采用肝脾同调的治疗原则，自拟荷薤汤针对性治疗脾虚肝郁证老年高脂血症，全方共奏益气健脾、化湿泄浊、疏肝调脂之效。肝脾同调理论与该方从调节肝脾功能入手，促进水谷精微运化，为治疗老年高脂血症提供新思路。

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刘畅（1982-），男，硕士，主任医师，主要研究方向为老年病的中西医结合诊疗。

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刘畅（1982-），男，硕士，主任医师，主要研究方向为老年病的中西医结合诊疗。

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