尤松鑫辨治慢性乙型肝炎经验

Experience of YOU Song-xin in differentiating and treating chronic hepatitis B

文章总结尤松鑫教授辨治慢性乙型肝炎的临床经验。尤教授认为其致病外因在于湿热疫毒,致病内因在于正气不充;病变以肝、脾、肾三脏虚损为主;总属本虚标实、虚实兼杂之证;病理因素多以湿热、气滞、血虚、阴亏为要,痰浊、瘀血为标;肝肾亏虚、湿热未尽是疾病持续进展的关键病机。尤教授临证时执简驭繁,细审虚实气血阴阳,基于不同脏腑间生理与病理相互关联的特性,巧施治法,紧扣基本病机,知常达变,灵活处方,疗效显著。

The article summarizes professor YOU Song-xin’s experience in differentiating and treating chronic hepatitis B. In the view of professor YOU, the external pathogenic factors consist of the invasion of damp heat and the internal pathogenic factors include the deficiency of healthy qi;The lesions are mainly caused by the deficiencies of liver, spleen, and kidney;The mixture of deficiency and excess, and the deficient root and excessive superficial are the characters of the disease;The dominant pathological factors are damp-heat, qi stagnation, blood deficiency, deficiency of yin, and the superfical pathological factors are phlegm evil and blood stasis;The key pathogenesis for the constant progress of disease is liver-kidney deficiency and persistent damp-heat. Professor YOU controls complexity with simplicity in clinical diagnosis and treatment, carefully reviews deficiencyexcess as well as qi, blood, and yin and yang, skillfully treats the disease based on the correlation between physiology and pathology of different zang-fu viscera, closely grasps the basic pathogenesis, understands the changes from time to time, adopts flexible prescription, and the curative effect was outstanding.