中医治疗慢性乙型肝炎的进展

A review on treating chronic hepatitis B in TCM

慢性乙型肝炎属于中医学的"胁痛""积聚""黄疸"等范畴。湿热疫毒入侵,邪伏血分,致使正气亏虚、气血失调是其基本病机。其中医辨证分型可按病因分为湿热相关分型、毒邪有关的分型、气机相关分型、血瘀相关的分型湿相关的分型;按病机分为肝郁相关的分型、阴虚相关的分型、肝郁脾虚相关的分型、与脾虚相关的分型;按病位分为病位在肝的分型、病位在肝肾的分型、病位在脾胃的分型、病位在肝脾(肾)的分型。中医药治疗主要有辨证论治、专方专用、单方制剂及针灸、推拿等。

Chronic hepatitis B belongs to the category of Xietong, Jiju, Huangdan in TCM. The basic pathogenesis of chronichepatitis B was Zhengqi Kuixu, Qixue Shitiao resulting from immunotoxin invasion and Xiefu Xuefen. The disease was divided into ShireXiangguan syndrome, Duxie Youguang syndrome, Qiji Xiangguan syndrome, Xueyu Xiangguan syndrome in TCM differentiation; it wasdivided into Ganyu Xiangguan, Yinxu Xiangguan, Ganyu Pixu, Pixu Xiangguan by pathogenesis; by disease-bit, it was divided intoBingwei Zaigan, Bingwei Zaiganshen, Bingwei Zaipiwei, Bingwei Zaiganpi（Shen） syndrome. The TCM treatment concludeddifferentiation treatment and special recipe, unilateral preparations, acupuncture, massage and so on.