补肾健脾法对慢性HBV携带者疗效的研究进展

摘要

The state of chronic hepatitis B virus carrying generally has not clinical symptoms. Traditional Chinese medicine has not the disease in ancient, and it belongs to the categories of"jaundice""hypochon-driac""accumulation"in traditional Chinese medicine. The Huangdi Neijing said that“if the body reserves vitai qi, pathogenic facors can not attack it”“if pathogenic factors gather together, the gas must be virtual”. The deficiency of spleen and kidney, and pathogenic factors gathering together is the main pathogenesis of the state of chronic hepatitis B virus carrying. The Jin Gui Yao Lue pointed out that"when we see the disease of liver, then we know it can attack to spleen, we must to firm spleen first", and it puts forward to the principle of treating liver, tonifying spleen, preventing the transmission. Invigorating kidney and spleen is the appropriate therapy for chronic hepatitis B carriers.%慢性乙肝病毒携带状态多无临床症状，中医古代无此病名，多归属于中医“黄疸”“胁痛”“积聚”等范畴。《内经》有云“正气存内，邪不可干”“邪之所凑，其气必虚”。脾肾亏虚、邪伏内郁为慢性乙肝病毒携带状态的主要病机。《金匮要略》指出“见肝之病，知肝传脾，当先实脾”，提出治肝补脾，防止传变的原则。慢性乙肝病毒携带者治疗上宜采用补肾健脾法。