从湿热疫毒瘀郁辨治慢性乙型病毒性肝炎探讨
作者单位:

• 作者单位,南京中医药大学附属医院,(江苏 南京 210029)

基金项目:

※基金项目 1.江苏省中医院院内课题[No.省中科(2018)12号];2.2017年江苏省高等教育教改研究立项课题(No.2017JSJG042)


Discussion on the treatment of chronic hepatitis B virus from the damp heat epidemic
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    摘要:

    慢性乙型肝炎发病具有疫毒的性质和致病特点,乙型肝炎病毒具有嗜肝性,感染后常表现“湿热证”,因此,湿热疫毒感染是其根本病因。“湿热”既具有湿、热二邪的原有特征,二者又阴阳相合,导致慢性乙型肝炎临床表现复杂多端、轻重殊异。湿热疫毒瘀郁,肝脾肾功能失司是其病机关键,病性属本虚标实、虚实夹杂。临床可分为肝胆湿热疫毒证、肝郁脾虚湿盛证、肝肾阴虚瘀热证3个证型,分别以龙胆泻肝汤、肝郁脾虚方、茵陈蒿汤合犀角地黄汤为代表方进行辨证论治,法随证转,灵活处方,不可偏执,勿犯虚虚实实之戒。

    Abstract:

    Hepatitis B disease has the nature and pathogenic characteristics of epidemic disease. HBV has hepatotoxicity and often shows "damp heat syndrome" after infection. Therefore, the infection of damp-heat epidemic is its root cause."Damp heat" not only inherits the original characteristics of wet and hot two evils, the two yin and yang are combined, resulting in the complex and multi-faceted clinical manifestations of hepatitis B.Damp-heat epidemic stagnation, liver, spleen and kidney function is the key to its pathogenesis, the disease is the virtual standard, virtual and real.Clinically, it can be divided into three types: liver and gallbladder dampness syndrome, liver spleen deficiency syndrome, liver and kidney deficiency syndrome. The syndromes of Longdan Xiegan Decoction, Liver Depression and Spleen Decoction, Yinchenhao Decoction and Xijiao Dihuang Decoction are used as the representative. The law goes with the certificate, flexible prescription, can not be paranoid, do not commit the ring of the real thing.Attached to the case.

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胡秋红,陈四清.从湿热疫毒瘀郁辨治慢性乙型病毒性肝炎探讨[J].,2020,19(2):40-42

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  • 收稿日期:2019-09-09
  • 最后修改日期:2020-04-25
  • 录用日期:2020-03-05
  • 在线发布日期: 2021-07-09