程良斌教授治疗慢性乙型肝炎合并非酒精性脂肪性肝炎验案一则

A Case Study of Professor Cheng Liangbin’s Treatment of Chronic Hepatitis B Combined with Non-Alcoholic Steatohepatitis

目的:整理程良斌教授诊治慢性乙型肝炎(HBV)合并非酒精性脂肪性肝炎(NAFLD)的经验,指导临床实践。方法:通过跟随程教授出诊,整理程教授门诊病例资料,抄方学习,分析出其治疗慢性乙型肝炎合并非酒精性脂肪性肝炎的治疗理念、方法及用药规律,并列举病案佐证。结果:程良斌教授认为治疗慢性乙型肝炎(HBV)合并非酒精性脂肪性肝炎(NAFLD)的病机主要是本虚标实,我们应该在辨证论治的基础上,治疗应以扶正肝脾肾功能为主,祛除痰湿、气滞、瘀血等致病因素为辅,为患者制定积极适宜的个性化治疗方案。结论:程良斌教授多年诊治慢性乙型肝炎合并非酒精性脂肪性肝炎经验颇丰,临床疗效显著,值得深入研究并推广。

Objective: To summarize the experience of Professor Cheng Liangbin in the diagnosis and treat-ment of chronic hepatitis B (HBV) complicated with non-alcoholic steatohepatitis (NAFLD) and guide clinical practice. Methods: Through visiting Professor Cheng, sorting out the outpatient case data of Professor Cheng, copying the prescription, analyzing the treatment concept, method and medication rule of chronic hepatitis B combined with non-alcoholic steatohepatitis, and listing the medical records for evidence. Results: Professor Cheng Liangbin believed that the pathogenesis of chronic hepatitis B (HBV) combined with non-alcoholic steatohepatitis (NAFLD) was mainly deficiency and deficiency. We should, on the basis of syndrome differentiation and treatment, focus on strengthening liver, spleen and kidney function, and remove phlegm dampness, qi stagnation, blood stasis and other pathogenic factors, and formulate an active and appropriate personalized treatment plan for patients. Conclusion: Professor Cheng Liangbin has rich experience in the diagnosis and treatment of chronic hepatitis B complicated with non-alcoholic steatohepatitis, and has excellent clinical efficacy, which is worthy of further study and promotion.