The Study On TCM Diagnostics And Analysis Of Syndrome Differentiation Of Chronic Hepatitis B In Gaoxiong, Taiwang

Objective: To investigate the correlation between to biochemical index and Classical differential diagnosis of traditional Chinese Medicine (CDDTCM) in patients with chronic hepatitis B in Ganxiong, Taiwang.Methods: The 160 patients with chronic hepatitis B who had been taken biochemical examination and ultrasonic therapy in hospital were collected from eight traditional Chinese medicine clinics in Gaoxiong district. They all had been identical in CDDTCM by two TCM doctors individually. The patients were divided into five groups on the basis of CDDTCM namely, dampness-heat accumulation, liver-depression and spleen asthenia, blood-stasis in collaterals, liver-kidney yin deficiency and spleen-kindey yan deficiency. Then the correlation of living styles and liver faction test were analyzed among these five groups.Results: Based on CDDTCM in this study, there were 58 cases (36.2%) of dampness-heat accumulation, 36 cases of (22.5%) of liver-depression and spleen asthenia, 25 cases (15.6%) of blood-stasis in collaterals, cases (13.7%) of liver-kidney yin deficiency, and 19 Cases (11.8%) of spleen-kindey yan deficiency. Generalspeaking, blood-stasis in collaterals patients are older than the other four groups, followed by spleen-kidney yan deficiency, liver-kidney yin deficiency, dampness-heat accumulation, and liver-depression and spleen asthenia patients. The patients of liver-depression and spleen asthenia and dampness-heat accumulation, drink much often than the patients of the other groups. The ALT and AST in dampness-heat accumulation and liver-depression and spleen asthenia are remarkable higher than the other three types. The ALT and AST in spleen-kidney yan deficiency don't have obvious statistically. Splenormegaly probability from top to the bottom is blood-stasis in collaterals, liver-kidney yin deficiency, spleen-kidney yan deficiency, liver-depression and spleen asthenia, and dampness-heat accumulation in order. The patients with chronic hepatitis B that HBeAg tends to be lower in deficiency syndrome, however higher in excess syndrome.Conclusion: The patients of dampness-heat accumulation were more than those of the other groups. The excess syndromes are more than the deficiency syndromes. The patients of blood-stasis in collaterals are order than other four groups, followed by spleen-kidney yan deficiency, liver-kidney yin deficiency, dampness-heat accumulation, and liver-depression and spleen asthenia patients, which testified the longer in course of disease in chronic hepatitis B the more serious.The ALT and AST in dampness-heat accumulation and liver-depression and spleen asthenia are higher than in the othergroups. It seems that the liver function is not necessary to up-regulate along, with the course of chronic change. The patients of blood-stasis in collaterals have the highest splenormegaly probability in five groups. It indicated that excess syndromes have stronger immune function than deficiency syndromes in patients with chronic hepatitis B...