Chronic hepatitis B is an infectious disease which is serious hazard to people’s health and quality of life. For chronic viral hepatitis B should be treated from the Gan and Dan of TCM, or Pi and Wei of TCM is still a dispute.The article mainly focuses on this topic.PurposesTo determine the main TCM position of the chronic hepatitis B is the purpose of this study.Methods1Theoretical studyCommon syndromes and symptoms of Gan and Dan, Pi and Wei of TCM were extracted respectively from the medical case database research group pre-established. And preliminary specification was carried out.Common clinical symptoms positional pathogenesis of Gan and Dan, Pi and Wei were identified from the symptom-pathogenesis database. Comparative analysis of common symptoms and symptoms pathogenesis of chronic hepatitis B were carried out.2Clinical studies Clinical research data was extracted from888valid cases of chronic hepatitis B of National Science and Technology Major Project of the Ministry of Science and Technology of China——infectious diseases.Case data was collected by using the structured clinical medicine clinics information collection system.To extract corresponding syndromes, symptoms, and traditional Chinese medicine prescriptions from the888cases and Gan-dan damp-heat syndrome cases were extracted by using the clinics information collection system.Frequency analysis and prescription matching approach were used in analyzing of888cases and syndromes diagnosed with Gan-dan damp-heat syndrome’s syndromes, symptoms, and using drugs regularity.Results1Theoretical research findings(1)The syndromes located in Gan and Dan are syndrome of Gan Qi Stagnation, syndrome of Gan wind stirring, syndrome of anger flaming, syndrome of yang hyperactivity, syndrome of liver blood deficiency, syndrome of Gan Yin Deficiency and so on. In the entire diagnostic syndromes, syndrome Gan-dan damp cases are few. Common symptoms of disease located in Gan and Dan are dizziness, fever and headache. (2)The syndromes located in Pi and Wei are syndrome of Pi Qi Deficiency, syndrome of dampness-heat retention Pi, syndrome of cold-dampness impairing Pi, syndrome of Pi-Qi Deficiency and Collapse, syndrome of Pi yang deficiency, and syndrome of Wei flaming. The symptoms located in Pi and Wei is abdominal pain, fatigue, abdominal distension, loose stool, loss of appetite.(3)Common symptom pathogenesis of the diseases located in Gan-dan, and Pi-wei were concluded.2Clinical research findings(1)Gan-dan damp-heat syndrome accounted for more than70percent of all the syndrome diagnosis, which is the most common syndrome type of chronic hepatitis B.(2)Chronic hepatitis B patients and chronic hepatitis B of Gan-dan damp-heat syndrome patients’ common symptoms and commonly used traditional Chinese herbs, commonly used prescriptions are basically the same.The most common symptom is fatigue, the most commonly used Chinese medicine is Poria (Fu Ling), Chronic hepatitis B patients and chronic hepatitis B of Gan-dan damp-heat syndrome patients have the same most commonly used prescription, which are Wu Ling San and Yin Chen Wu Ling San.Conclusion of the studySyndromes of chronic hepatitis B are syndrome of Gan-dan damp-heat and syndrome of dampness-heat retention Pi-wei.The traditional Chinese Medicine disease position of chronic hepatitis B should be Gan-dan and Pi-wei. |