Background:Hepatitis b virus (HBV) infection, a global pandemic is a serious public health problem. Different areas HBV pop intensity difference, our country is in high-risk areas viral hepatitis B. Severe hepatitis with onset acute and complex, disease progression was much complications, mortality faster, higher characteristic, is the severe liver disease of all common ending. Actively seek effective treatments for chronic hepatitis patients, improve heavy-duty hepatitis patient survival rates in clinical studies, become problem to be solved, Nearly 20 years clinical practice has proved, Chinese medicine in the treatment of chronic fulminant hepatitis b has certain effect, Actively carry out of integrated traditional Chinese and western medicine treatment of chronic fulminant hepatitis B. In order to reduce the mortality of HBV related liver disease, with important medical and sociology value.Content:WangXianBo professor considered that Chronic fulminant hepatitis B has a complex pathogenesis, dangerous condition and quickly change. Combination of Chinese and western medicine method should be adapted to clinical diagnosis and treatment. WangXianBo professor considered that a hot, damp, poison, phlegm, stasis are the occurrence and development of chronic severe hepatitis B basic pathogenesis. Hot and humid is pathogenic factors, phlegmy turbidity and blood stasis is pathological product. A hot, damp, poison, phlegm, stasis are throughout the evil. They They or appearing in, or concealing, so that treatment is tricky. The evil mutual cementation baffling, trapped spleen and stomach, stagnation liver and gallbladder, deep lurk in blood, cause viscera function disorder, Yin and Yang, qi and blood is unbalanced, even variable symptoms are born. Clinical symptoms is to produce all sorts of fatal complications, this is the main difficulties in the treatment of severe hepatitis.Conclusion:"unblocking intestinal is important to clearing away toxic material and cool blood, invigorating spleen and resolving dampness to solid middle burner"is professor WangXianBo's main academic point of view to cure severe hepatitis. Based on the core pathogenesis "unblocking intestinal is important to clearing away toxic material and cool blood, invigorating spleen and resolving dampness to solid middle burner" is the basic principle to treat of chronic fulminant hepatitis B. Not only reflected to eliminate pathogenic factors and the idea of combining, but also embodies the disease-symptoms combined treatment of TCM characteristic disease. Professor Wang clinical stressed that the clinical treatment should according to the primary and secondary illness, recognize the main symptoms and the secondary symptoms. Or clearing away heat and toxic material,or Cool and activating blood, or invigorating spleen and resolving dampness, or unblocking intestinal and purging turbidity,and again complementary with other therapies,or each method combining use flexible. Keeping pathogenesis, treating with symptoms, in this way, can we improve the clinical effect. The article bases on the clinical treatment of a typical cases, summarized professor WangXianBo diagnosis of chronic fulminant hepatitis B the academic experience. |