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史文新,徐凤仙,王楠,王文娣,戴佩莉,严凌鹤,李培成,奚永林.肝复灵膏治疗慢性乙型活动性肝炎的临床与病理观察[J].,1986,(9):522-525,514
肝复灵膏治疗慢性乙型活动性肝炎的临床与病理观察
Clinical and Pathological Observation in Treatment of Chronic Active Hepatitis B with Gan Fu Lin Extract(肝复灵膏)
  
DOI:
中文关键词:  慢性乙型活动性肝炎  益气养阴法  功能反应  乙型慢活肝  免疫球蛋白  超微结构  对照治疗  细胞学  慢性化  临床与病理
英文关键词:
基金项目:
Author NameAffiliation
Shi Youxin 上海中医学院附属龙华医院 
Xu Fengxian 上海中医学院电镜室 
王楠 上海中医学院病理室 
王文娣 上海中医学院附属龙华医院 
戴佩莉 上海闵行传染病院 
严凌鹤 上海中医学院电镜室 
李培成 上海中医学院附属龙华医院 
奚永林 上海中药一厂 
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中文摘要:
      本文按益气养阴法则制成肝复灵膏,对25例乙型慢活肝患者进行3~12个月治疗,其中6例作了肝穿刺,对照治疗前后细胞学与超微结构的变化,从临床、生化、免疫、光镜、电镜观察结果表明,肝复灵膏有益气养阴功能,稳定 SGPT,调节 B 细胞功能反应,使血清中γ球蛋白,IgG、IgM 趋向稳定,肝细胞变性坏死现象有不同程度的改善。
英文摘要:
      This paper deals with the effect of Gan Fu Lin Extract which was prescribed according to the principle of replenishing the Qi and nourishing the Yin,in the treatment of 25 patients of chronic active hepatitis B for 3 to 12 months.Repeated liver biopsy before and after the treatment in six patients were done.After the therapy,17 cases were relieved from symptoms,9 of them did not relapse.The clinical symptoms,such as pain in RUQ,anorexia,abdominal distention,and gingival bleeding attenuated or even disappeared.Serum IgG and γ-globulin markedly decreased,IgM were also lower than pre-medication.The swelling,balloonized and acidophilic degenerative changes of liver cells became markedly reduced or disappeared.The derangement of lobular structure had some improvements,Intralobular focal necrosis and periportal piecemeal necrosis also lessened or even vanished.The infiltration of inflammatory cell decreased.The pathological picture indicated a static stage of the disease.In electron-microscopical observation the degeneration and necrosis of hepatocytes were more or less improved after treatment.The swelling and degeneration of mitochondria and the number of secondary lysosomes reduced.The cisternae of endoplasmic reticulum did not dilate.The nuclear envelope was regular.The space between inner and outer nuclear membrane did not enlarge.The discoveries of light and electron microscopy were conformed with clinical findings. Gan Fu Lin Extract could regulate the function of body,increase the immunological ability,improve the nutritious state of hepatocytes and promote their regeneration.Through clinical,biochemical,light and electron microscopic observations,it was shown that Gan Fu Lin Extract had the function of Qi-replenishing and Yin-nourishing,which exerted beneficial influence to the deficiency of both Qi and Yin, so as to interrupt the chronic course of the disease.
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