| Objective:Transmission and development of the summary, Xie Zhaofeng old doctor of traditional Chinese medicine treatment of liver diseases(chronic hepatitis b viral hepatitis) academic thoughts and clinical experience, clinical basic treatment of chronic hepatitis b viral hepatitis, and evaluate qinggan jiedu decoction treatment of chronic hepatitis b viral hepatitis, liver and spleen wet and heat syndrome curative effect. This topic mainly through the 60 cases of chronic hepatitis b patients with liver and spleen syndrome of clinical research, to compare Chinese medicine qinggan jiedu soup and beneficial liver spirit liquid capsule on the clinical curative effect of chronic hepatitis b patients with liver and spleen syndrome, to demonstrate the effectiveness of qinggan jiedu decoction treating the disease with security, for the clinical treatment of chronic hepatitis b liver and spleen syndrome provides new train of thought and basis.Methods:Collected through with the teacher learning, the teacher ever published papers, works and notes, comments, save, perfect medical record, summary analysis inductive Xie Zhaofeng old doctor of traditional Chinese medicine clinical diagnosis and treatment of chronic hepatitis b viral hepatitis, academic thoughts and clinical experience, collecting xie old September 2012-April 2015 during the diagnosis and treatment of 60 cases of chronic hepatitis b viral hepatitis, summary of qinggan jiedu decoction on the basis of party for the treatment of chronic hepatitis b viral hepatitis, liver and spleen of damp heat syndrome clinical efficacy analysis, randomized, single-blind trial method, would be consistent with chronic hepatitis b liver and spleen syndrome diagnosis and included in the standard of 60 cases of patients were divided into treatment group and control group,30 cases in each group. Qinggan jiedu decoction treatment group with Chinese medicine, daily 1 agent,2 times, each agent points in the morning and evening suit; Control group for reasons of liver spirit liquid capsule treatment, two at a time, three times a day. Two groups of a course of 3 months. Before and after treatment by Chinese medicine new medicine for the treatment of chronic hepatitis b viral hepatitis clinical research guiding principle \"and\" the outcome of chronic hepatitis b standard \"between groups, comparison within the groups, compare two methods for the clinical curative effect of chronic hepatitis b patients with viral hepatitis.The results of the study:1, division of liver xie academic, originated from neijing, the knowledge of zhongjing, digg, director of the home. Clinical attaches great importance to the physiological relationship between qi and blood, spleen and kidney and liver. Think of liver development process, the disorder of qi and blood is the cause of liver disease occurs, is also the pathological product of liver disease. As the day after tomorrow of the spleen and stomach, has important significance in prevention and treatment of liver disease and keeping in good health. In particular emphasis on the function of the spleen and stomach, prescription medicine stressed the need to protect the spleen and stomach, everywhere dietary regulating differentiation and combination of body. Liver disease recovery, pay special attention to kidney centralizer. In the process of the liver disease development, the origin is the key factor for liver disease occurs, produced in the process of blood stasis is the liver disease of periodic pathological product of toxin factor is the main factor of liver disease occurs. Liver disease primarily in the liver, but related to the spleen and kidney, pathological mechanism is hot and damp stasis poison, fight each other, disorder of qi and blood, liver, spleen, kidney disease later period three dirty failure, pathological nature always belong to the actual phase noise. Clinical syndromes, advocated four diagnostic ginseng, Chinese and western union. Treatment of liver disease, emphasizing the syndrome differentiation, attaches great importance to the whole, cure this disease. Pick wide clinical prescription medication, digg, achieve mastery through a comprehensive and flexible. Thank teacher for the treatment of chronic hepatitis b viral hepatitis, according to the degree of disease development, can be divided into four periods:(1) disease early, when thanh hoa hot and humid; (2), in the middle of the disease should be protecting liver Yin; (3) late lesions, medicinal attack of use; (4) disease gradually restored, the main benefit spleen and kidney.2, clinical research:(1) the baseline data of two groups of patients before treatment of gender, age, TCM syndrome integral, and liver function baseline comparison, analysis of the data suggests that differences between the two groups has no statistical significance (P> 0.05).(2) the comparison between groups:two groups after treatment the overall effect of contrast, qinggan jiedu decoction treatment group total effective rate was 90.2%; Good control liquid capsule, the total effective rate was 85.5%, no statistical significance. Qinggan jiedu decoction treatment group in improving the burnout trapped the symptom such as heavy, stay, loose stool pond liquid on spirit is better than good liver capsule group (P< 0.05), the treatment group curative effect is better than that of control group in patients with spleen deficiency hou yi liver spirit liquid capsules. The two groups after treatment for 3 months, ALT, AST, TB, DB was obviously improved, the difference was no statistical difference (P< 0.05).(3) in contrast, compared the two groups after treatment of TCM syndrome integral and liver function period decreased obviously, the gap between before and after the treatment are significant statistical difference (P< 0.01).Conclusion:Thank teacher learning has its roots, some cases, liver disease theory is unique, rich clinical experience, the treatment effect is remarkable, should actively develop and thank teacher academic thoughts and clinical experience of liver disease. This study applies qinggan jiedu decoction, in clinical treatment of patients with chronic hepatitis b viral hepatitis, liver and spleen in hot and humid card process and results, shows its have increased significantly in patients with liver function, reduce the patient’s symptoms and signs, improve the quality of life in patients with utility, etc. |
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