摘要
重症肝炎是因急剧而广泛的肝坏死、肝功能严重损害所致的一种危重病症,具有发病急、病情进展快、病势重、变症多、治疗棘手、死亡率高等特点。本病以黄疸为突出的主症,故中医学将其归属于“急黄”范畴。病机为湿热壅盛,内蕴中焦,由脾胃熏蒸肝胆,疫毒炽盛者,内陷心肝,充斥三焦,多脏受累,且可因热毒内陷,阴气耗竭,邪闭正脱。中医疗法中,辨证论治仍占主导地位,故从清热祛湿,治有主次;清热解毒,当分气血;腑实热结,主以通泄;瘀热相搏,凉血化瘀;利水逐水,缓急有别;热毒内陷、开闭防脱等方面加以阐述。
Severe hepatitis is a Critical disease with rapid hepatonecrosis and serious damage of liver func-tion, which is marked by acute onset rapid progress, many complications, difficult freatment and high mortali-ty. Jaundice is the chief manifestation. In TCM, the dis-ease belongs to the category of 'acute jaundice' .The pathogenesis is considered as overabundance of damp-heat in middle - jiao and accumulation of Pestilential toxin in the heart, liver and triple - jiao. Exhaustion of yin - qi and collapse occur as a result of retention of healthy qi, heat - toxin. Treatment should accord with syndrome differentiation, and clearing heat, expelling damp, remoring toxic substance, purging fu - organs, cooling blood, removing blood - stasis, promoting diuresis and preventing collapse may be applied accordingly.
出处
《新中医》
CAS
北大核心
2002年第3期3-6,共4页
New Chinese Medicine
关键词
重症肝炎
中医药疗法
辨证论治
治疗
病机
hepatitis
pathogenesis, TCM
Therapy, Chinese herbal drug
Critical disease
