慢性乙型肝炎中医辨治思路

TCM Syndrome Differentiation and Treatment for Chronic Hepatitis B

慢性乙型肝炎常见证型有脾虚湿滞、湿热蕴结、脾虚血瘀、气阴两虚等,但以上证型不能截然分开,大多互相兼夹,湿热、气滞、血瘀三方面因素始终存在于本病的全过程,早期以湿毒、气滞为主,后期以正虚为主,健脾化湿、行气活血法应贯穿本病治疗始终。

The comon syndromes of hepatitis B are dampness stagnancy due to spleen deficiency,stagnation of pathogenic dampness and heat,blood stasis due to spleen deficiency,deficiency of both qi and yin,but these syndromes can not be completely separated from each other and most of them are combined.Dampness and heat,gas stagnation,blood stasis are present in the whole process of this disease,the pathogenic heat and qi stagnation mainly stay in the early stage,while deficiency mainly in the late stage.Therefore resolving dampness by tonifying the spleen,promoting circulation of qi and blood should be consistently throughout the treatment of the disease.