肝纤维化“微癥积”中医病证探究  

Exploration of traditional Chinese medicine syndrome of micro concretions and gatherings of hepatic fibrosis

作　　者：张永生[1] 徐珊[1] 朱飞叶[1] 付玲珠 盛云杰[1] 

机构地区：[1]浙江中医药大学,杭州310053

出　　处：《中华中医药杂志》2014年第9期2903-2905,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：浙江省自然科学基金(No.Y2100684);浙江省科技计划(No.2012R10044-03)~~

摘　　要：肝纤维化是各种慢性肝病的关键阶段,与肝癌相关。肝纤维化属于中医学"癥瘕积聚"范畴,慢性肝病所致的肝损伤可分为邪实、正虚、虚实夹杂等不同的证候阶段,肝纤维化阶段可以定义为"癥积"的初始阶段——"微癥积",由于多数的患者处于诊断明确而中医临证"无证可辨"的慢性疾病状态,临床上把握肝纤维化患者"无证可辨"阶段的"微癥积"特征,用中医"治未病"思路及早加以干预,能够较好地提高慢性肝病的临床疗效。Hepatic fibrosis was the key stage of a variety of chronic liver diseases, which was related to hepatic cancer. Hepatic fibrosis belonged to the TCM category of concretions and gatherings. The syndrome of hepatic injury caused by chronic hepatic injury could be divided into excess of pathogenic qi, deficiency of vital qi, intermingled deficiency and excess and so on. Hepatic fibrosis could be defined as initial phase of concretions and gatherings： micro concretions and gatherings. Majority of patients were diagnosed clearly, but still in the asymptomatic situation of the clinical practice of TCM. If the micro concretions and gatherings characteristic of hepatic fibrosis patients with asymptomatic situation could be intervened with the thought of prevention of disease, it might improve the clinical curative effect of chronic hepatic disease.

关 键 词：肝纤维化 微癥积 证候特征 

分 类 号：R259[医药卫生—中西医结合]