从疏通大肠论治HBV相关慢加急性肝衰竭前期的临床思路探讨  

Discussion on the Prophase Clinical Idea of Dredging Large Intestine Theory for HBV--related Acute-on-chronic Liver Failure

作　　者：尹燕耀[1] 林云华[1] 林晖明[1] 宗亚力[1] 万勇[1] 

机构地区：[1]南昌市第九医院中西医结合肝病科,江西南昌330002

出　　处：《新中医》2017年第2期144-146,共3页New Chinese Medicine

基　　金：国家临床重点专科建设项目经费资助(国卫医发[2013]42号);2014年江西省科技计划项目(20141BDH80031);2014南昌市指导性科技计划项目(洪科发计字[2014]197号第35项)

摘　　要：肝衰竭在我国的病因主要是HBV感染,临床表现以慢加急性肝衰竭为主。本文通过对中医相关文献的复习,结合现代医学的近期研究,探讨以疏通大肠论治HBV相关慢加急性肝衰竭前期患者的理论基础,认为湿热疫毒内蕴,熏蒸肝胆,邪毒壅滞,肠道不利,是本病的重要病理环节,治疗当以疏通大肠为原则,治以清热凉血、通腑解毒之法。The main cause of liver failure in China is hepatitis B virus（HBV） infection, and the clinical manifestation of it is mainly acute-on-chronic liver failure.This article,by reviewing Chinese medicine-related literature and combining with recent studies of modern medicine,explores the theoretical foundation of dredging large intestine theory forpatients with HBV-relatedacute-on-chronic liver failure in early stage.It believes that stasis of dampness-heat and epidemic toxin,fumigation of liver and gallbladder, toxic stasis and intestinal disadvantages are important pathological links of the disease.Treatment should according to the principle of large intestine, and the therapy of clearing heat and cooling blood and fu-unblocking detoxification.

关 键 词：慢加急性肝衰竭前期 HBV 疏通大肠 清热凉血 通腑解毒 

分 类 号：R575.3[医药卫生—消化系统]