建构肝硬变四维论治的诊疗思路与研究方向

The Thinking of Diagnosis and Treatment and Research Direction of Constructing Four Dimensional Treatment of Liver Cirrhosis

肝硬变发病隐匿,病机复杂,病因多端,主症、并发症丛生,各种因素相互交错,仅凭症状及证候进行"辨证论治"一种思路,既不符合客观实际,也难以应对其复杂的病情。为了诊疗与研究的方便,必须有辨病论治、审因论治、辨证论治、对症治疗四种不同的区别。建构辨病、审因、对症与辨证四维论治的诊疗思路与研究方向,从病因、病机、证候、并发症不同的角度进行具体认知,追求理论与临床上的规范化、具体化,也就是要进行精准性诊疗,才能完善肝硬变的诊疗体系。

The incidence of liver cirrhosis is dormant,its pathogenesis is complex, its etiology is various There are many main symptoms and eomplications. Various factors are mutually staggered, the way of thinking of treatment based on syndrome and symptoms differentiation does not accord with the objective reality, nor is it difficult to cope with the complex condition. Therefore, for convenience of diagnosis,treatment and research,there must have the following methods：treatment based on disease differenti- ation,treatment based on disease cause,treatment based on syndrome differentiation,and symptomatic treatment. By constructing the thinking of diagnosis and treatment and research direction four dimensional treatment, knowing liver cirrhosis from diffe, rent perspectives of the etiology, pathogenesis, syndrmnes, complications, pursing theoretical and clinical standardization, and embodi- ment, namely ,carrying out accurate diagnosis and treatment, improve the diagnosis and system of treating liver cirrhosis can be es- tablished and improved.