教授基于“痞堅之處，必有伏陽”論治慢性乙型肝炎之經驗

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[中圖分類號]R256.4 [文獻標志碼]A [文章編號]doi：10.3969/j.issn.1674-070X.2025.04.018

本文引用：.教授基于“痞堅之處，必有伏陽"論治慢性乙型肝炎之經驗[J].湖南中醫(yī)藥大學學報，2025，45（4）：704-710.

[Abstract]Chronic hepatitisB （CHB）isa chronic inflammatorydiseaseof the liver causedbypersistent infectionof hepatitisBvirus（HBV）.Theconditioniscomplex，variable，andoftendificulttocure.ProfesorXIEJingridrawngoasical textsandhisownclinical experience，treats CHBbasedonthe theoryof"painfulandhardareasalwaysharboring stagnantyang qi."Hebelievesthatthestagnantyangqiisthecause，whilethepainandhardnessaretheconsequences.Thestagnantyangqis consideredtheathologicalasisepresetingeitalsageoftesease.Thsegivsisetampesseatg bloodstasis，adingtotheprogressonoftedisease.Astesepathologicalfctorscontiuetoaccuulate，teygaduallyasfo intotoxicityindicatingthatthediseasehasentereditslaterstages.Withthedestructionoftheliver'sstructureandlossof function，thodioetallgesestgiblesescheprsentsdageue.rfore，itiso thattheregulationofyangqiisessentialtoeliminatepainandhardnes.Thetreatmentapproachistailoredtoachstageofthe diseaseasfollows：warmingyangandcutivateprimordialqitostrengthenthebodyregulatingyangqiandsoothingtheliverto clearheat，unblockingtheflowofyangqitoremovestagnation，reinforingyangandeliminatingpathogicalproductstoresolve toxicityorprotectingyangandremovingtubiditytoeliminatemases.Specificformulasandherbsareselectedaccordingly， yielding highly efective results. A case study is provided as supporting evidene.

[Keywords] chronic hepatitisB;pain and hardness; stagnant yang qi; famous doctors experience;XIE Jingri

慢性乙型肝炎（chronichepatitisB，CHB）是由乙型肝炎病毒（hepatitisBvirus，HBV）持續(xù)感染引起的一種肝臟慢性炎癥性疾病，其主要機制為病毒引起的免疫應答導致肝細胞損傷及炎癥壞死，而炎癥壞死持續(xù)存在或反復出現(xiàn)是CHB進展為肝硬化甚至肝癌的重要因素。（剩余12930字）