肝性脊髓病(HM)是慢性肝病晚期的一种罕见的神经系统并发症,以双下体缓慢进行性对称性痉挛性瘫痪为特征性表现。其发病机制不完全清楚,且目前尚无有效的预防和治疗方法。本文结合近10年文献,对肝性脊髓病发病机制、中医病因病机及中西医治疗研究进展做以概述。 Hepatic myelopathy (HM) is a rare neurological complication of late-stage chronic liver disease characterized by a slow progressive symmetrical spastic paraplegia of the bifid lower body. Its pathogenesis is not completely clear, and there is no effective prevention and treatment. This article combined with the recent 10 years of literature, the pathogenesis of hepatic myelopathy, etiology and pathogenesis of traditional Chinese medicine and Western medicine treatment to do the review.