酒精性肝纤维化中医证候研究评述

酒精性肝纤维化是目前研究的热点,中医治疗存在一定的优势。中医虽然对酒精性肝纤维化病名、病机及治疗进行了研究,但是至今仍然不够深入。本文从酒精性肝纤维化证候的文献回顾、证素研究、临床证候分布、实验室指标方面对证候研究现状进行了评述。认为对酒精性肝纤维化的病机和症状特点认识不同,造成证型判定不同或者证候命名不同,主要证型间的程度分级以及证候减轻、缓解或演变与病变的关系不明确,没有与病相结合形成合理的证型。酒精性肝纤维化证候研究已取得了较大的进展,但仍存在一些值得深入研讨的问题。

Review of TCM syndromes of alcoholic liver fibrosis

The study of alcoholic liver fibrosis is a hot topic at present and TCM has some advantage in treatment.Although TCM has done some deep research on alcoholic liver from the aspects of syndrome,pathogenesis and treatment,but it is still not profound enough.From literature review,syndrome element,laboratory index and frequency,we make a review on TCM syndromes of alcoholic liver fibrosis.Different understanding of pathogenesis and symptoms caused differently named syndrome and main syndrome.The relationship between loss,remission or evolution of syndrome and disease is not clear.There is no reasonable syndrome combined to disease.Great progress has been made in research of alcoholic hepatic fibrosis syndrome,but there are still some issues worthy of discussion.