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本文着重介绍中医对慢性肝炎(包括迁延型肝炎)的治疗情况,下面谈两个问题: 一、关于辨证施治慢性肝炎的临床表现,多见身困乏力,不思饮食,胁痛,腹胀,日苦,便溏,低热,失眠等。肝肿大,部分病人脾亦肿大,可有蜘蛛痣及肝掌等内分泌失调现象,肝功能检查多不正常。由于病程日久,迁延不愈,多出现肝郁脾虚、肝肾阴虚、肝血淤阻的症候;若毒邪留恋,亦可出现湿热的症状。因此,慢性肝炎的临床症状比较复杂,应根据患者的病情辨证施治。
This article focuses on the treatment of chronic hepatitis (including protracted hepatitis) by TCM. Here are two questions to discuss: First, on the clinical manifestations of syndrome differentiation and treatment of chronic hepatitis, fatigue is more common, diet, hypochondriac pain, bloating, Distress, loose stools, low fever, insomnia, etc. Hepatomegaly, some patients splenomegaly, there may be endocrine disorders such as spider mites and liver palms, abnormal liver function tests. Due to the course of the disease, the symptoms of hepatic stagnation, spleen deficiency, liver-kidney yin deficiency, and hepatic blood stasis are often present. If the poison is absent, symptoms of hot and humid may also occur. Therefore, the clinical symptoms of chronic hepatitis are more complicated and should be treated according to the patient’s condition.