An exploration of theoretical approaches to chronic hepatitis B from a defi-ciency perspective
Chronic Hepatitis B(CHB)has an insidious onset and a lingering course,closely related to the deficiency of vital energy.The entire course of CHB is characterized by the dynamic interplay between the strengthening of vital energy and the weakening of pathogenic factors.The progression from CHB to cirrhosis and liver cancer reflects the continuous depletion of vital energy and the gradual decline in the body's ability to resist the pathogenic forces.The deficiency in CHB is most commonly observed in the spleen,often affecting the liver and sometimes the kidneys,frequently involving multiple organs.This deficiency can encompass aspects of Qi,blood,Yin,and Yang.Treatment should focus on identifying the specific location and nature of the deficiency,with emphasis on harmonizing both the liver and spleen.The principle is to"prioritize the central region and focus on liver regulation,"while also considering the kidneys.However,treatment should not be overly fixated on supplementation,but rather aim to harmonize the organ energies gently,avoiding overly potent medications and ensuring that tonification does not reinforce the pathogenic factors.
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