难治性慢性丙型肝炎的中医辨证论治  

Syndrome Differentiation and Treatment of Refractory Chronic Hepatitis C

作　　者：薛博瑜[1] 

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《南京中医药大学学报》2015年第1期1-3,共3页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家"十一五"科技重大专项(2008ZX10005-009)

摘　　要：难治性丙型肝炎主要是指经干扰素联合利巴韦林初次标准治疗后无应答或治疗后复发的病例。认为病机要点在于热毒瘀结,肝脾损伤,本虚标实,虚实夹杂。治疗原则当清化瘀毒,调养肝脾,扶正祛邪。肝郁脾虚瘀阻证,治以疏肝健脾、行气活血,逍遥散、四逆散加减;热毒瘀结证,治以清热凉血、化瘀解毒,犀角地黄汤合四逆散加减;气虚阴伤证,治以益气养阴、清化瘀毒,四君子汤合生脉散、沙参麦冬汤加减;肝肾阴亏证,治以滋水涵木、养阴柔肝、化瘀通络,滋水清肝饮、鳖甲煎丸加减。Refractory hepatitis C cases refer to patients who show no response or even suffer from relapse after treated by interferon combined with Ribavirin, which are administered for the first time. We think that the key pathogeneses are heat and toxin stagnation, injury of liver and spleen, deficiency in origin and excess in superficiality and intermingled deficiency and ex- cess. The principle of treatment is to eliminate blood stasis and toxin, nourish liver and spleen and strengthen vital qi to dispel evil qi. As for liver stagnation spleen deficiency and blood stasis syndrome, Xiaoyaosan and modified Sinisan can be used to soothe liver, strengthen spleen and invigorate qi and blood circulation. Modified Xijiao Dihuang decoction and Sinisan can be ap- plied to clear heat, cool blood and remove blood stasis and toxin for heat and toxin stagnation syndrome. Sijunzi decoction to- gether with Shengmaisan and modified Shashen Maidong decoction can nourish qi and yin and eliminate blood stasis and toxin for qi and yin deficiency syndrome. As for liver kidney yin deficiency syndrome, Zishui Qinggan decoction and modified Biejia decoction is useful in nourishing liver and kidney, nourishing yin and liver and removing blood stasis.

关 键 词：柴油机 布朗气 轻型车 加速 排放污染物 

分 类 号：R242[医药卫生—中医临床基础]