| The virus hepatitis is one of the diseases endangering the human health seriously, especially chronic hepatitis B. Which involves the most number of people, and the consequence caused is the most serious. At present the curative effect of chronic hepatitis B can not be satisfactory with the Western medicine. Besides after treating for a long time, it would be apt to bring out the variation of the virus and have the drug resistance, so it had been limited clinical suitability. Therefore traditional Chinese medicine treating the hepatitis B has became the key subject of liver diseases studies. Depending on the researching and analyzing of 1997-2007 Chinese medicine documents and the experience of the clinical practice, I realize that there is close relevance to chronic hepatitis B, spleen and stomach, thus put forward the view that the chronic hepatitis B needs to manage from the spleen and stomach theory. This article is divided into two major parts of theoretical research and clinical research, to discuss the symptom and therapeutics of the chronic hepatitis B.Through literature collection, I collect documents of special prescription, special method, and flavor of medicines that had treated the chronic hepatitis B over the past ten years, used for setting up the database. Firstly, researching and analyzing classification and efficiency of medicine, four qi, five flavors, and meridian, we can know Chinese medicine treat the chronic hepatitis B to take fortifying the spleen and harmonizing the stomach as the core, complementing it with clearing heat and detoxicating, inducing diuresis to drain dampness, soothing the liver and regulate qi, and regulating the liver and supplement the kidney, finally run through among them with activating blood and resolving stasis. The main disease location is in the liver, spleen, kidney, and also related with other internal organs. Secondly, acting as systematic analysis to syndrome type in documents, it is the chronic hepatitis B that we can know ten kinds of syndrome types of liver: liver-gallbladder dampness-heat, retained dampness-heat toxin, depression and spleen deficiency, liver-kidney yin deficiency, static blood blocking collateral vessel, spleen-kidney yang deficiency, dampness-heat obstructing qi, qi stagnation and blood stasis, and liver depression and qi stagna, to have the comparatively common ones clinically. Sum up above mentioned results, propose spleen-stomach disharmony pattern is the most important pathology link of chronic hepatitis B.In the research of diagnosis and treatment of hepatitis from spleen and stomach, describe the relation between liver and spleen, stomach at first. Discuss them in physiological and pathological connection, and summarize that the liver is closely related with spleen and stomach in course of the meridian, the five phases, or function. Secondly, in this foundation of the liver, spleen and stomach are correlated with, launch the theoretical research of chronic hepatitis B and spleen and stomach dependence. Explain cause of disease and mechanism of disease of the chronic hepatitis B in terms of spleen and stomach. According to the arrangement and analysis of documents, summarize pattern identification and dividing type, differentiate and analyze the main point of the chronic hepatitis B is. managed from the spleen and stomach theory.Unifying individual clinical experience, I make case of illness the induction about the professor treats the chronic hepatitis on clinical. Introduce the guideline of using medicine of the chronic hepatitis B, daily medicine of disease identification and treatment, and propose the clinical case to perform the evidence. |
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