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Viral hepatitis syndrome differentiation thinking again

 

 

Zhou Zhongying Nanjing university of Chinese medicine

 

 

China's traditional Chinese medicine to

 

 

 

        Clinical must grasp the main points of syndrome differentiation: one is the heat wet should defend wet and heat of the ebb and flow, primary and secondary dynamic evolution, and its evil. 2 it is a long illness into the winding should be judged from the air into the blood and qi stagnation and blood stasis resistance successively, two nature wet stasis, heat and blood stasis. Three is v poison depth, should be declared through of evil. Four is the culprit of damp and hot medium, by the spleen and liver, so liver navigating the spleen, but not in the national health delivery. Five is the damage relieving, when to give attention to two or morethings and cure. Six is evil love is empty, and kidney, long illness, when the centralizer fight evil, aftercare of liver and spleen, complementing the liver and kidney.

 

        Viral hepatitis, especially hepatitis b, not only high incidence, have a wide range of epidemic, and there are a lot of virus; Because of its most have disease slow, insidious onset, easy to relapse in delay chronic disorders, even for the development of liver cirrhosis, liver cancer, so mostly belong to the category of NanZhiBing.

 

        Despite major progress was made in western medicine against hepatitis b virus drugs, but there are still a virus, not sensitive, withdrawal of recoil and so on. Treatment based on syndrome differentiation of traditional Chinese medicine, can alleviate clinical symptoms, reduce, stable condition, but its advantage in curative effect on the individual, in traditional Chinese medicine (TCM) antiviral pharmacological screening, it is difficult to get satisfaction from clinical confirmed.

 

        How to break through these difficulties, the author thinks that should also return to the traditional Chinese medicine to find the answer, a way out on their own, think about the corresponding countermeasures.

 

        Because of the machine analysis

 

        Stay hot and humid

 

        Careful card machine, that is "hot" viral hepatitis of pathological factors, always run through the whole course of disease, performance in different types, or explicit or implicit, or fast or slow, the weight is different.

 

        Wetlands for yinxu, hot for Yang, Yin and Yang, composite material, so the hardest speed, wet curbing hot v, hot place in the wet, wet curbing hot outside, yu steamed mutually, is difficult to have lingering, the disease is difficult to speed.

 

        Moreover, not only has a wet weight of damp and hot, hot, damp and hot and different, and there are primary and secondary growth, dynamic evolution, is not static. This is a focal point of clinical treatment must pay attention to.

 

        Wet sex slow speech &drama, weightier, gooey, conghua, according to the five gas often and more evil, wet from the cold, and less for sp, wet from the thermalization is hot and humid.

 

        A long illness winding stasis

 

        Liver is dirty of storing blood, disease in the gas at the beginning of a long illness and blood, "in the early disease for a long time will into complex". If the hot and humid depressive poison hurt liver, every evil easily into the blood, liver and blood stasis, the blood stasis due to qi depression, or wet stasis blocking collaterals, or hot congestion and blood stasis, blood stasis hot junction.

 

        In view of the particularity of hepatitis pathogenesis, both from the main respect of qi and blood, there are evil fu blood points, from the inside out, by the blood and gas, due to blood stasis and qi stagnation due to one side. In short, hot and damp stasis poison into the blood, is causing illness for deferment, formed the important pathological basis of chronic, must pay attention to.

 

        V poison depth

 

        Evil ChengSheng poison, poison will be evil, steaming hot and humid depression, is one of the important conditions for propagation of virus replication, and then make a hotbed of poison, poison because of the evil of the opposite sex, can show the vision of wet poison poison, toxic heat and blood stasis, if the hair is to the vertical, it is a congenital disease, especially deep refractory disease, must strive to from the outgoing, xuan of evil.

 

        It with today's liver of hepatitis b virus sex is similar, on liver and kidney disease jue less two classics, deep in the blood, see more hidden, lingering, treatment as well as classification processing, if the acute outbreak, or TuBianZhe in the course of the disease, is evil because of poison and leather, evil orthogonal, the change of toxic heat and blood stasis depression, are critically ill evil, every cause toxic heat invagination, inside outside closed off. Is quite similar to autoimmune pancreatitis is said today.

 

        Change the

 

        , damp and hot have seen more for new coke, trapped halt the spleen, soil indicates wood depressive, and liver, and spleen disease that wet poison accumulate deterring taste, toxic heat and blood stasis depression in liver, showing the "syndrome of liver heat spleen wet", the beginning is evil, long the two injuries, liver and spleen and "change", but it also should distinguish between primary and secondary relations of liver and spleen, distinguish between virtual wood by "soil", "soil not planted wood" and "wood not thin soil" are different.

 

        From the top, the liver first when the spleen, but not necessarily to spleen, tonifying spleen, and spleen, spleen is more important.

 

        The damage spread relieving

 

        Stasis, eagerness and fixing, not two injuries, liver and spleen disease and in the inner parts. Liver and gallbladder, spleen and stomach for table, liver depression and qi stagnation, cannot support the article, the bravery of the functions of depression disorders, bile stasis, not often path; Wet trapped the spleen, heat is hurt a stomach, spleen is not healthy, gastric estrangement, bowel relieving conduction through drop loss, against to the hot and humid endogenous; Treating bladder, visible urine abnormality. End up to a viscera and compound and disease, so the card must be clear in the liver when cholagogic, spleen should be good, and must manage the bowel, stomach for regulating the whole condition.

 

        And is empty

 

        Damp and hot long detention, wet trapped spleen, wounded qi, Yang, hot depression are hurt liver, blood loss, damage of Yin, from real to virtual, in a word, false or true.

 

        Liver and spleen with disease, long and kidney, liver and kidney b decyl homology, spleen and kidney are persistent, liver YinShang, is bound to the water consumption of kidney, kidney Yang liver failure are not warm soil, temperature, hence it im sending it.

 

        , with qi and Yin can see two multiple injury, liver and kidney are the same as the sick, wind-resistant design is given priority to with Yin blood losing time, spleen and kidney, wind-resistant design is given priority to with qi deficiency, Yang deficiency. When foster the balance.

 

        To sum up, the clinical must grasp the main points of syndrome differentiation: one is the heat wet should defend wet and heat of the ebb and flow, primary and secondary dynamic evolution, and its evil. 2 it is a long illness into the winding should be judged from the air into the blood and qi stagnation and blood stasis resistance successively, two nature wet stasis, heat and blood stasis. Three is v poison depth, should be declared through of evil. Four is the culprit of damp and hot medium, by the spleen and liver, so liver navigating the spleen, but not in the national health delivery. Five is the damage relieving, when to give attention to two or morethings and cure. Six is evil love is empty, and kidney, long illness, when the centralizer fight evil, aftercare of liver and spleen, complementing the liver and kidney.

 

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