肝硬化之診治

Diagnosis and Treatment of Liver Cirrhosis

10.6516/TJTCM.201003_13(1).0005

陳旺全

肝硬化 ； 中醫藥 ； Liver chrrhosis ； traditional Chinese medicine

中醫藥研究論叢

13卷1期（2010 / 03 / 01）

53 - 69

繁體中文

肝硬化是肝臟疾病的末期階段，特徵通常表現為由於肝細胞壞死所引起，肝實質的結節狀及廣泛性的纖維化，肝小葉的組織結構發生異常變化，屬於慢性肝炎症的一種。肝硬化早期並無症狀，後期可出現肝功能減退、門靜脈高壓、多系統受累的表現。有些肝硬化的病因可以確定，但對幾乎所有類型肝硬化的發病機理仍然不清。 一般認為，肝臟血液循環的障礙對肝硬化的型態發生，病變的進展以至臨床表現均有十分重要的影響。 中醫學對肝硬化的認識，一般會在「黃疸」、「脇痛」、「癥積」、「鼓脹」、「水腫」、「血証」等病証中來討論，中醫藥對於肝硬化依証型來防治在現今的科學研究上已有突破性的貢獻。

Liver chrrhosis is the advanced stage of liver diseases characterized by replacement of liver tissue by fibrosis, scar tissue and regenerative nodules due to liver cells was killed, leading to progressive loss of liver function. There are no significant symptoms in onset. As the disease progresses, complications may develop, including progressive loss of liver function, portal hypertension and multiple system damage. Cirrhosis has many possible causes. Some causes can be pinning down. But, the inducing mechanisms of almost all type of liver chrrhosis are still unclear. In the diagnosis of liver chrrhosis, traditional Chinese medicine usually focused on the syndromes of jaundice, hypochondriac pain, accumulation of masses, tympanites drum distention, edema, and hopoproteinemia.