慢性乙型肝炎病因病机探讨

A Discussion on Pathogenesis of Chronic Hepatitis B

慢性乙型肝炎的病因与湿热疫毒密切相关 ,湿热毒邪是乙肝发生的始动因素 ,脾运不健是乙肝发生发展的内在基础 ,肝络瘀阻是病变发展的重要病理环节 ,肝肾亏损是病变发展的必然结果 ;病机特点为正虚邪恋 ,本虚标实 ,致病势缠绵 ,病情反复波动 ;治疗上必须有的放矢 。

The pathogenesis of chronic hepatitis B is related to dampness and heat, which are the causative factors for the occurrence of the disease. Dysfunction of the spleen is the internal basis for the onset of the disease, stagnation of the liver collaterals is an important factor for the development of the disease and deficiency of the liver and kidney is the inevitable outcome of the disease. The pathological features of the disease is deficiency of the anti-pathogenic factors with lingering of the pathogenic factors, which gives rise to this chronic disease with changes and recurrence. Satisfactory results can only be obtained by treating the disease according to the condition of individual patients.