常見疾病中醫證型診斷基準(3-2)-慢性B型肝炎中醫證型診斷基準研究

林宏任
中國醫藥學
中醫在古典醫籍中並無肝炎之病名，肝炎一般可歸類在中醫”黃疸”、”脅痛”等範疇中，但中醫在診斷上是以四診、八綱為主要內容，依此分類方法來進行辨證施治。但現代中醫師在臨床診治肝炎時皆以自身從古典醫籍中或經臨床心得中獲取經驗，其臨床辨證分型各行其是，此外在研讀中醫臨床期刊論文時，常見各研究論文所列之證型並不一致，甚者證型之診斷標準並不相同；因此，在進行中醫藥臨床研究前，建立一套相互一致的證型分類是首要的工作。
本計劃乃建立慢性B型肝炎證型分類與各證型之診斷基準為目標，診斷標準的內容包括證型、計分辦法及其他標準(如含脈診、舌診、檢驗…等)。本年度計畫乃在古籍及期刊之收集，並完成初步的問卷內容及量表，初步內容包括病患基本資料表、證型症候量表、舌診及脈診之量表。
關鍵字：中醫診斷 ,辨證 ,B型肝炎

The study of diagnostic standards of Chinese medical patterns on diseases-The research of the criteria of Chinese Medical diagnosis of Chronic Hepatitis B

Hung-jen Lin
Department of Chinese Medicine,China Medical College Hospital
We cannot find the term “hepatitis” in the classical Chinese medicine books. And the hepatitis we can classify to “Jaundice” or “hypochondrium pain”. However the Chinese medicine diagnostic system depend on “four diagnostic methods” and ”eight principles”
Nowadays Chinese medicine doctor get experience from ancient books and clinical practice. Their experiences are not exactly the same with the clinical journals. Therefore when we go into the clinical studies, the first thing we should do is to establish a same Chinese diagnostic pattern.
The aim of this research is to set up the criteria of Chinese Medicine diagnosis of Chronic Hepatitis B, including: diagnostic pattern、score and other criteria such as pulse inspection、tongue inspection、experimental test .
The project of this year collected ancient books and journals, then the first questionnaire have been done which included patients’ basic database、Symptom-to-syndrome questionnaire 、pulse inspection and tongue ins
關鍵字：Hepatitis B，Chinese Diagnosis，Distinguish pattern