中西医结合治疗重症胆汁淤积型肝炎

Treatment of Severe Cholestatic Hepatitis by integrated Traditional Chinese and Western Medicine

目的：研究中医药对重症淤胆型肝炎的退黄效果。方法：选择血清总胆红素（ＴＢｉｌ）≥１７１μｍｏｌ／Ｌ的重症淤胆型肝炎，对血瘀为主证者，用赤芍等为主药，对有血热、饮停心下、湿邪弥散三焦、脾肾阳虚等兼证者随证加减治疗３５０例。结果：显效２８８例，有效２６例，无效３６例，总有效率８９．７％。结论：凉血活血中药（以赤芍为主）能加速本病黄痘消退，能明显地改善患者预后。

Abstract:To study the curative effect of Chinese medicine in treating severe cholestatic hepatitis (SCH).Methods: Three hundred and fifty patients of SCH with total bilirubin level≥171μmol/L were treated with Chinesemedicines. For those with Blood Stasis Syndrome, treated with the recipe mainly consisted of Radix Paeoniae Rubra,and for which accompanied with blood Heat, fluid retention in epigastric region, Dampness dissenubated in Sanjiao(三焦 ) or both Spleen and Kidney Yang-Defidency Syndrome, the recipe was used in modification according to theSyndrome. Results: Treattment was markedly effective in 288 cases and effective in 26 cases, the total effective ratebeing 89.7% 。 Conclusion: It is difficult in treating severe cholestatic hepatitis, especially the chronic cholestatichepatitis, which could develop to severe chronic hepatitis if the jaundice lasted for a long time. This study showed agood effect of Chinese herbal medicine in eliminating jaundice.Keywoeds: viral hepatitis,intrahepatic cholestasis, blood stasis and blood Heat, cool down blood Heat andactivate blood circulation