薛博瑜教授治疗慢性乙型肝炎经验浅析

Elementary analysis on academic thought of professor XUE Bo-yu treating chronic hepatitis B

慢性乙型肝炎具有发病率高、流行性广泛的特点,而抗病毒治疗是治疗关键,但目前抗病毒药物的疗效不甚理想。薛博瑜教授临证近30载,诊治本病,每获良效。文章总结了薛博瑜教授治疗慢性乙型病毒性肝炎经验,其认为"湿热疫毒"是慢性乙型肝炎的主要致病因素,是慢性乙型肝炎发病的主要外因;在治疗上强调重视解毒法的临床运用及其常使用的解毒方法,同时主张顾护中焦脾胃,病久应补益肾水。

Chronic hepatitis B is characterized by its high morbidity and extensive epidemicity,and it is generally acknowledged that the antiviral therapy displays a key role in treatment of chronic hepatitis B.But nowadays therapeutic effect of antiviral medicine is unsatisfactory.Professor XUE Bo-yu has engaged in chronic hepatitis B treatment with Chinese medicine for 30 years,has get satisfied clinical results.This article summarized his clinical experience in Chronic hepatitis B.He has the idea that dampness-heat epidemic toxicity is the major etiologic agent and the fundamental external factor that resulting in chronic hepatitis B.Clinically,he takes detoxifying and the specific methods he has employed seriously.Also,he claims that we should attach importance to the function of the upper abdomen spleen and stomach and tonify Kidney Water when some patients have been ill for a long time.