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慢性重型肝炎黄疸辨治探析
Approach of Differentiating and Treating Jaundice on Chronic Severe Hepatitis
【摘要】 黄疸是慢性重型肝炎突出临床表现之一,血清胆红素(黄疸)持续不降可发生肝细胞液化性和凝固性坏死,从而导致肝功能衰竭。湿、毒、瘀互结是慢性重型肝炎黄疸的重要病机,病性有寒热之别,证候有虚实之异。根据张仲景《伤寒杂病论》辨治黄疸理论,结合临床辨证,以阳黄、阴黄、瘀黄论治,运用泄热解毒、温化寒湿、活血化瘀治疗慢性重型肝炎黄疸,临床疗效可靠。
【Abstract】 Jaundice is one of clinical manifestations of chronic severe hepatitis. Serum bilirubin (jaundice) continuing not dropping can lead to hepatic cell colliquative necrosis and coagulation necrosis, so as to Liver function failure occurs. Moist, poison and stasis are the important etiopathogenesis of jaundice on chronic severe hepatitis. Its nature is cold or heat, and the syndrome is excess or deficiency. According to ZHANG Zhong-jing’s theory of differentiating and treating jaundice in Treatise on Cold-Attack, thinking of the decree and carrying out the knowledge, I outlined jaundice into yang jaundice, yin jaundice and stasis jaundice to use syndromes as evidence and apply the mechanism actively. And the therapeutical methods of dispersing heat to neutralize poison, warming cold and moist and promoting blood flow to dissolve stasis in treating chronic severe hepatitis have good and reliable curative effects.
【Key words】 chronic severe hepatitis; jaundice; pathogenesis; therapeutical principle;
- 【文献出处】 山西中医 ,Shanxi Journal of Traditional Chinese Medicine , 编辑部邮箱 ,2008年01期
- 【分类号】R256.41
- 【被引频次】21
- 【下载频次】243