慢性乙型肝炎中医药辨治规律探讨-中医内科学专业毕业论文.docxVIP

中文摘要H的：探讨11]医学对慢性乙型肝炎的病因、病机、辨治用药规律的认 中文摘要 H的：探讨11]医学对慢性乙型肝炎的病因、病机、辨治用药规律的认 识。方法：理论与临床经验相结合。1．中医学无与慢性乙型肝炎相对应的 病名，前人将本病归于胁痛、黄疸、积聚，其病证表现类似于湿温。2．“杂 气”或“疠气”属慢性乙型肝炎的病因，乙型肝炎病毒兼具湿热两重性， 属湿热疫毒致病因子。3．慢性乙型肝炎的基本病机：毒侵一湿热毒邪内侵； 正虚一肝脾肾三脏亏虚；气郁血瘀，虚实挟杂，或虚多实少，或实多虚少。 常见证型有：肝郁气滞；湿热中阻；肝郁脾虚；肝肾阴虚；瘀血阻络；脾 肾阳虚。4．慢性乙型肝炎辨证要点：(1)湿热疫毒，注重气分病证；(2) 虚实辨证，脏腑定位；(3)重视气血津液辨证；气阻血瘀痰凝可出现在慢 性乙型肝炎的整个病程之中。慢性乙型肝炎疫毒留恋，正气已虚，气血失 调是其基本病因病机，因此祛邪，扶正，调理气血是其治疗的基本原则。5．慢 性乙型肝炎的组方用药原则应遵循以下几个方面：(1)辨证施治；(2) 合理运用现代药理成果，把中医的宏观辨证与西医的微观认识有机结合起 来，科学组方，多法并用。结论：慢性乙型肝炎属中医“湿温”范畴，为 湿热疫毒内侵，虚实挟杂之证，辨治要祛邪扶正。注重肝脾肾三脏功能， 宏观辨证与微观认识有机结合。 主题词肝炎／慢性；乙型；中医；辨证施治 AbstractObjeetive：To Abstract Objeetive：To study the causes，pathogenesis，Bianzhengshizhi rule of chronic hepatitis B in TCM Methods：To make the methods of combining the theolT and the clinic experiences in TCM． Results：1．There is corresponding name for chronic hepatitis B in TCM and it usually belongs tO pain in the hypochondrium，jaundice，abdominal mass，distention of abdomen，consumptive disease and on．Being character of epidemic，chronic hepatitis B belongs to epidemic febrile disease in TCM，and has symptom similar to the disease of Wetness—pathogen． 2．‘‘Epidemic pathogens’’or“miscellaneous ei”is the of chronic hepatitis B The virus of chronic hepatitis B have two characters of wetness and heat which belong to wetness．heat virus factors in TCM． 3．The basic pathogenesis of chronic hepatitis B including two aspects，one is invasion by the pathogen of damp—heat factors，the other is the deficiency of vital ei of Liveg Spleen and Kidney．And the deficiency of vital Qi，stagnation of Qi and Blood，the coexistence of deficiency and excess，the imbalance of deficiency and of pathogens and vital Qi also its pathogenesis．The stagnation of Liver-Qi，the accumulation of damp—heat in the Middle Jiao，the stagnation Liver-Qi and insufficiency of Spleen—Qi，the deficiency of Liver and Kidney Yin，the stagnation of Blood in the collateral and the deficiency of Yang of Spleen and Kidney Yang its main syndrome typesinT