Viral Hepatitis Biochemical Indicators And The Preliminary Research On The Relationship Between Tcm Syndrome Type

Part One SummaryThis article summarizes the research of viral hepatitis in etiology and pathogenesis, diagnosis method and therapeutic method in the last20years.Part Two Clinical ResearchObjective:Through exploring the relationship between laboratory parameters and Chinese medicine diagnosis of viral hepatitis patient, finding assistant evidences to judge the TCM syndrome type.Methods:Collecting270cases with outstanding symptoms who are also clearly diagnosised of viral hepatitis. Record their main laboratory index, while judge their Chinese medicine diagnosis and classification according to the symptoms, tongue meridian. Analyze the distribution regularities of different TCM syndrome types.Results:ALT, AST level of damp-heat syndrome are significantly higher than the rest of the4types,they are258.06U/L and171.29U/L, liver and kidney Yin deficiency follows, ALT, AST level of liver depression and spleen deficiency are close to normal; GGT of every syndrome type are similar to AST group. The rise of TBIL in spleen-kidney yang deficiency is the most obvious, and the mean (31.25umol/L) is far higher than other types. Some of the groups have significant differences in ALT, AST and GGT (P<0.05), but other indicators’difference is invalid (P>0.05). A moderately elevated liver function in liver depression and spleen deficiency and kidney Yin deficiency pattern see more, moderate to severe rise see more in damp and hot disease. Liver depression and spleen deficiency is the commonist pattern when ALT or AST is normal (<40U/L); after rising to more than five times,the most probably pattern is damp-heat syndrome; syndrome types in different segments of increased GGT is also similar with AST, but blood stasis syndrome is more probability to see an increased GGT; statistics of TBIL is more complex, each segment has no significant differences between each other (P>0.05).Conclusion:Laboratory index rising degree and TCM syndrome type distribution rule are of closely relation. This study can be from clinical workers’ angle, through the known laboratory index, helping to analyze of the TCM type of patients.