台北市中医师公会中医药研究论丛

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201.15中医治疗B 型肝炎中风药应用的病例报告

中医治疗B 型肝炎中风药应用的病例报告

Application of Traditional Chinese Medicine with Wind Herbs in Patient with Chronic Hepatitis B: A Case Report

苏柏璇1　刘佳祐1*

1 台北市立联合医院林森中医院区，台北，台湾

【摘要】

本病例报告描述治疗一个B 型肝炎肝功能指数高，伴随疲倦及嗜睡症状，初期使用疏肝解郁和清利湿热的药物後，肝功能指数不降反升，在加入风药使用升阳除湿的方式後，肝功能回复正常的疗程。B 型肝炎中医治疗上常常以清肝利湿为主要治疗方式，因此在用药上以清利湿热、淡渗利湿和疏肝解郁的药物为主，但是袪湿之法不是只有淡渗利湿，若加入风药提升阳气，加强气机升降，运用升阳除湿的方式，会起化龙点睛之功效。藉由此病例可知风药的运用值得医者在临床面对此类病症时叁考的良好方法之一。

【关键词】

B 型肝炎、风药、升阳除湿

Su Po-Hsuan1　Liu Chia-Yu1*

1Department of Chinese Medicine, Taipei City Hospital, Linsen Branch, Taipei, Taiwan

【Summary】

This is a male Hepatitis B virus carrier, who presented with abnormal liver function and accompanied with fatigue and drowsiness. At first, we prescribed the Chinese medicine formula to course the liver depression and clear the dampnessheat, but the patient’s liver function still increased. However, we prescribed wind medicine to take the advantage of upbearing yang and clearing dampness, the liver function got markedly improved.

In the treatment course of chronic hepatitis B, the liver dampness and heat was thought as the main pathomechanism. Therefore, Traditional Chinese medicine（TCM）physician often used prescription to disinhibit dampness by bland percolation, clear the liver dampness and heat. But the way to disinhibit dampness is not limited in bland percolation, using wind medicine upbearing the yang qi to promote qi dynamics is also an effective way for treating chronic hepatitis B. The method of using wind medicine to improve the liver function of patient with hepatitis B may be one of the feasible treatment.

Keywords： Hepatitis B virus, wind medicine, upbearing yang and clearing dampness

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