童光东教授运用补肾法治疗慢性HBV携带状态患者经验总结

Summary of professor Tong Guangdong's experience in treating chronic HBV carriers with kidney tonifying method

慢性HBV携带状态是慢性HBV感染的免疫耐受期,此期患者大多年龄较小,肝功能持续正常,临床常需评估疾病进展风险,慎重选择启用西医抗病毒时机。早期中医药干预可使此类患者更早获益,延缓疾病进展。童光东教授是广东省名中医,在经典“伏气温病”理论指导下,创新性提出“肾虚、湿热毒邪内伏肝血”为慢性HBV携带状态的基本病机,临床治法常以补肾法为基础,疗效显著。本文主要对童光东教授运用补肾法治疗慢性HBV携带状态患者的经验进行总结。

Chronic hepatitis B virus(HBV)carrier state is the immune tolerance period of chronic HBV infection.Most patients in this period are young and their liver function continues to be normal.Therefore,it is necessary to evaluate the risk of disease progression in clinical practice and carefully choose the time to use western antiviral medicine.Early intervention of traditional Chinese medicine can benefit such patients earlier and delay the disease progression.Professor Tong Guangdong is a famous traditional Chinese medicine in Guangdong Province.Under the guidance of the classical theory of"insidious pathogen warm disease",he innovatively proposed that"kidney deficiency,dampness,and heat toxin hidden in liver blood"is the basic pathogenesis of chronic HBV carrier state.The clinical treatment is often based on tonify the kidney,which has remarkable curative effects.This paper mainly summarizes Professor Tong Guangdong's experience in treating chronic HBV carriers with the kidney tonifying method.