从痰瘀论治乙型肝炎肝硬化

Treating Hepatitis B Cirrhosis from Phlegm and Blood Stasis

乙型肝炎肝硬化是一种慢性进展性疾病,其发病隐匿,西医临床治疗疗程长,患者依从性差,且久用易耐药。中医疗法具有不良反应少、多靶点、不易耐药的独特优势。笔者对多年的临床经验进行总结,针对乙型肝炎肝硬化提出“痰瘀互结”的理论。以疏肝、柔肝、健脾为基本法则,并将活血祛痰贯穿于整个肝硬化治疗的过程,唯有痰瘀并祛,方可取得满意疗效。

Hepatitis B cirrhosis is a chronic progressive disease with insidious onset.The treatment course for hepatitis B cirrhosis by western medicine lasts for long time,the compliance of patients is poor,and there would be drug resistance after long time medication.Traditional Chinese medicine(TCM)therapy is of the unique advantages like less side effects,multi-targets and non-drug resistance.The clinical experiences of many years were summarized,and the“intermingled phlegm and blood stasis”theory for hepatitis B cirrhosis was put forward.The basic principles are soothing the liver,softening the liver and invigorating the spleen,and promoting blood circulation and eliminating phlegm should be performed throughout the whole treatment course of liver cirrhosis.Satisfactory curative effect could be achieved by expelling both phlegm and blood stasis.