从“虚、毒、瘀、积”论慢性乙型肝炎及相关肝硬化、肝癌的治疗

童光东; 王宇新; 邢宇锋; 魏春山; 唐海鸿; 黄锦桢; 黄芙蓉; 赖剑萍; 陈团团; 韩志毅

doi:10.13288/j.11-2166/r.2021.16.006

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从“虚、毒、瘀、积”论慢性乙型肝炎及相关肝硬化、肝癌的治疗

思路与方法 | 更新时间：2021-11-10

- 从“虚、毒、瘀、积”论慢性乙型肝炎及相关肝硬化、肝癌的治疗
- Treatment of Chronic Hepatitis B and Related Liver Cirrhosis and Liver Cancer from the Perspective of “Deficiency, Toxin, Stasis and Accumulation”
- 中医杂志 2021年62卷第16期页码：1404-1407
- 作者机构：
  
  1. 广州中医药大学第四临床医学院
  2. 深圳市中医院
- 作者简介：
- 基金信息：
  
  国家自然科学基金(81774263)
- DOI：10.13288/j.11-2166/r.2021.16.006
  中图分类号： R273;R259
- 纸质出版：2021
- 稿件说明：
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童光东, 王宇新, 邢宇锋, 等. 从“虚、毒、瘀、积”论慢性乙型肝炎及相关肝硬化、肝癌的治疗[J]. 中医杂志, 2021,62(16):1404-1407.

TONG Guangdong, WANG Yuxin, XING Yufeng, et al. Treatment of Chronic Hepatitis B and Related Liver Cirrhosis and Liver Cancer from the Perspective of “Deficiency, Toxin, Stasis and Accumulation”[J]. Journal of Traditional Chinese Medicine2021, 62(16): 1404-1407.
童光东, 王宇新, 邢宇锋, 等. 从“虚、毒、瘀、积”论慢性乙型肝炎及相关肝硬化、肝癌的治疗[J]. 中医杂志, 2021,62(16):1404-1407. DOI： 10.13288/j.11-2166/r.2021.16.006.

TONG Guangdong, WANG Yuxin, XING Yufeng, et al. Treatment of Chronic Hepatitis B and Related Liver Cirrhosis and Liver Cancer from the Perspective of “Deficiency, Toxin, Stasis and Accumulation”[J]. Journal of Traditional Chinese Medicine2021, 62(16): 1404-1407. DOI： 10.13288/j.11-2166/r.2021.16.006.

摘要

提高中医治疗慢性乙型肝炎及相关肝硬化、肝癌的临床疗效

需要理论创新。结合中医经典理论及慢性乙型肝炎的病理演变过程

认为"虚、毒、瘀、积"是乙型肝炎病毒感染过程中的核心病机

分别采用"补益脾肾、透邪解毒""益气活血化积""养正逐邪、化积解毒"的中医治疗策略。从"虚毒""虚瘀""虚积毒"的动态病机演变来探讨慢性乙型肝炎病毒感染的一体化治疗思路

以期构建慢性乙型肝炎中医病机体系。

Abstract

Theoretical innovation is urgently needed to improve the clinical effects of traditional Chinese medicine（TCM） in the treatment of chronic hepatitis B（CHB） and related liver cirrhosis and liver cancer. Considering the classical theories of TCM and the pathological evolution of CHB

it is believed that "deficiency

toxin

stasis

and accumulation" are the core pathogenesis in the process of hepatitis B viral infection

and the corresponding TCM treatment strategies are suggested to be "supplementing and boosting spleen and kidney

venting pathogen and resolving toxins"

"boosting qi

invigorating blood and removing accumulation"

and "reinforcing healthy qi

dispelling pathogen

removing accumulation and toxins". From the dynamic pathogenesis of "deficiency-toxin"

"deficiency-stasis" and "deficiency-accumulation-toxin"

the integrated treatment strategy of CHB viral infection has been proposed

so as to construct a TCM pathogenesis system for CHB.

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