慢性病毒性肝炎常见性质证素的分析

Analysis on Common Syndrome Elements of Chronic Viral Hepatitis

目的:确立病毒性肝炎的常见性质证素。方法:以张志斌提出的证候要素为参考,从"艾滋病和病毒性肝炎等重大传染病防治"科技重大专项课题采集的19341份病毒性肝炎病例的证候诊断中提取证候要素,并与行业标准进行对比。结果:病毒性肝炎涉及的性质证素共计27个,常见的性质证素有气滞、内湿、内火、血瘀、阴虚、气虚、毒、水、阳虚等;实者以气滞、内湿、内火、血瘀为主,虚者以阴虚、气虚为主。结论:病毒性肝炎以实证为主,湿、热、瘀、虚、毒在病毒性肝炎的发生发展过程中起着关键的作用,除此之外,气滞、水和痰也是其主要病变特性。

Objective： To determine the common syndrome elements of Viral Hepatitis. Methods： Referring to the syndrome elements proposed by ZHANG Zhi-bin, syndrome elements were extracted from the collection of 19,341 eases of Viral Hepati- tis syndrome in a subject, ＂AIDS and Viral Hepatitis and Other Major Infectious Diseases Prevention and Control＂, which is supported by the grant of National Science and Technology Major Project of the Ministry of Science and Technology of China, and the eomparation between them and industry standards was carried out. Results： There are 27 involved quality syndrome elements of viral hepatitis, the common quality syndrome elements including Qi stagnation, internal dampness, internal fire, blood stasis, Yin deficiency, Qi deficiency, toxin, water, Yang deficiency; the main excessive syndromes are Qi stagnation, in- ternal dampness, internal fire, blood stasis;T the main deficiency syndromes are Yin deficiency and Qi deficiency. Conclusion： Excessive syndromes are the main syndromes of viral hepatitis. Dampness, heat, blood stasis and toxin play a key role in the development of viral hepatitis. In addition to this, Qi stagnation, water and phlegm are the important part of the quality syndrome.