辨证辨病相结合治疗柯萨奇病毒性肝炎30例临床观察——附30例甲型病毒性肝炎和30例戊型病毒性肝炎对照观察

Clinical Study on Treatment of 30 Patients with COX Virus Hepatitis by Syndrome Differentiation combined with Disease Differentiation- Parenthesis Clinical Study on Comparison between 30 Patients with Virus Hepatitis A and 30 Patients with Virus H

目的:观察辨证结合辨病治疗柯萨奇病毒性肝炎临床疗效和其病因病机特点,并与甲、戊型病毒性肝炎进行比较。方法:我们对30例柯萨奇病毒感染引起的肝细胞损伤作了临床观察,并设30例甲型病毒性肝炎和30例戊型病毒性肝炎对照观察。结果:经辨证结合辨病治疗ALT、TBIL明显下降,症状体征改善明显。经1个月的治疗临床治愈率,分别为柯萨奇病毒性肝炎76.67%,甲型病毒性肝炎80%,戊型病毒性肝炎76.67%。结论:柯萨奇病毒性肝炎、甲型病毒性肝炎、戊型病毒性肝炎在病因病机上各有侧重,柯萨奇病毒性肝炎以湿、热、瘀为主,甲型病毒性肝炎以风、热、瘀为主,戊型病毒性肝炎以湿、毒、瘀为主。在辨证结合辨病施治上也各有侧重。

Objective:To observe the clinical effect in the treatment of syndrome differentiation combined with disease differentiation,and its pathogenic characteristic.And we compared it with Virus Hepatitis A and E.Methods:To observe the damage in 30 Patients with COX Virus Hepatitis and compare it with Virus Hepatitis A and E,and to study its pathogenic characteristic.And we compared it with Virus Hepatitis A and E.Result:After the treatment of syndrome differentiation combined with disease differentiation,the levels of ALT and TBIL in serum obviously declined,as well as the improvement of syndromes and physical manifestations.The rate of cure were 76.67% in COX Virus Hepatitis,80% in Virus Hepatitis A and 76.67% in Virus Hepatitis E.Conclusion:Pathogenically,dampness,hot and stagnation are COX Virus Hepatitis,wind,hot and stagnation are Virus Hepatitis A,and dampness,toxin and stagnation are Virus Hepatitis E.So they are different in the treatments of syndrome differentiation combined with disease differentiation.