基于伏邪理论探讨干扰素治疗慢性乙型肝炎的疗效特点及中医药协同减毒增效机制
DOI: 10.12449/JCH251024
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:王石中负责文章设计,资料分析,撰写论文;郑润锈参与收集数据,修改论文;孙克伟负责拟定写作思路,指导撰写文章并最后定稿。
Efficacy of interferon in treatment of chronic hepatitis B and the synergistic mechanism of traditional Chinese medicine in toxicity reduction and efficacy enhancement: A study based on the theory of latent pathogens
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摘要: 在传统中医理论体系中,伏邪深藏于厥阴肝胆是慢性乙型肝炎的核心病机。干扰素能调节免疫、清除病毒,通过透邪祛毒可实现临床治愈,但其治疗初期常出现瞑眩反应,长期使用易损伤气血,且疗效依赖于患者自身正气。中医药协同干扰素治疗时,根据患者动态变化的病机调整配伍,不仅能减少不良反应,增强疗效,还可扩大干扰素的适用人群,改善患者的临床症状。Abstract: In the traditional theoretical system of traditional Chinese medicine, latent pathogenic factors deeply hiding in the liver and gallbladder of the Jueyin meridian are the core pathogenesis of chronic hepatitis B. Interferon can regulate immunity and eliminate viruses, and clinical cure can be achieved by penetrating and removing pathogenic factors and toxins. However, it often causes dizziness and confusion reactions in the initial stage of treatment, and long-term use can damage Qi-blood; furthermore, its therapeutic effect depends on the patient’s own vital Qi. When traditional Chinese medicine is used in combination with interferon, drug compatibility should be adjusted according to the dynamic changes of pathogenesis, which can reduce adverse reactions, enhance the therapeutic outcome, expand the applicable population of interferon, and improve the clinical symptoms of patients.
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