李普辨治病毒性肝炎临证经验撷菁

Professor Li Pu′s Clinical Experience in Differentiation and Treatment of Viral Hepatitis

李普教授将病毒性肝炎症状归纳为“一侧或两侧胁肋部痛、腹胀、乏力”;急性期病毒性肝炎的湿热证细分为湿重于热证、热重于湿证、湿热较轻证;慢性期病毒性肝炎以肝郁脾虚证和气滞血瘀证为主;病位在肝,累及脾胃;病性由实致虚、虚实夹杂。临证时,遣方用药应顺应脏腑特性,以简驭繁:急性期以“清热利湿”为主,重用茵陈,待湿热减退或迁延成慢性期,以“疏”为主,疏肝解郁,疏理气血,调畅中焦。

Professor Li Pu summarized the symptoms of viral hepatitis as"pain,abdominal distension,and fatigue in one or both sides of the ribs";The Dampness Heat syndrome of acute viral hepatitis can be divided into Dampness heavier than Heat syndrome,Heat heavier than Dampness syndrome,and milder Dampness Heat syndrome;Chronic viral hepatitis is mainly characterized by Liver stagnation,Spleen deficiency syndrome,Qi stagnation and blood stasis syndrome;The disease is located in the Liver,with the Spleen and Stomach get involved.The nature of the disease ranges from excess to deficiency,with a mixture of deficiency and excess.When treating symptoms,prescription and medication should comply with the characteristics of the Zang and Fu,by using simplicity to resist complexity:in the acute phase,"clearing Heat and promoting Dampness"should be the main method by using Yinchen(Artemisia capillaries).When the Dampness and Heat subside or extend to the chronic phase,"dredging"should be the main method,soothing the Liver to relieve depression,regulating Qi and blood as well as regulating the Zhongjiao.