基于“湿温”探讨急性(黄疸型)病毒性肝炎的证治规律

Disscussion on Diagnosis and Treatment Regularity of Acute Icteric Viral Hepatitis Based on “Dampness-Warm Disease”

急性(黄疸型)病毒性肝炎在病因、发病途径、发病特点等方面与湿温病相似,其发展特点符合卫气营血的传变规律:黄疸前期,病变在卫分;黄疸期,病位多在气分,病变以脾胃为中心;病情进展至肝衰竭阶段,可按内陷营、血分辨证。从湿温认识急性(黄疸型)病毒性肝炎,采用卫气营血辨证,对于从整体上认识急性(黄疸型)病毒性肝炎的证治规律,提高临床疗效,均具有重要的意义。

Acute icteric viral hepatitis,shares similarity with dampness-warm disease in etiology,infection pathway and characteristics which is accord with regularity of Wei-Qi-Ying-Xue theory on development and transmission： pathological changes stay at ＂Wei＂in preicterus stage,at＂Qi＂in icterus stage,while the lesion is centered with spleen and stomach,and at＂Ying＂or＂Xue＂,when it progresses to hepatic failure. Studying acute icteric viral hepatitis based on dampness-warm and conducting syndrome differentiation and treatment according to Wei-Qi-Ying-Xue theory shows important significance for grasping the law of development of the diseaseas a whole and improving the curative effect.