临床肝胆病杂志2025，Vol.41Issue(10)：1961-1967,7.DOI:10.12449/JCH251001
中医药治疗乙型肝炎肝纤维化研究进展
Research advances in traditional Chinese medicine treatment of chronic hepatitis B-associated liver fibrosis
摘要
Abstract
Chronic hepatitis B-associated liver fibrosis is the key pathological stage in disease progression to liver cirrhosis and even hepatocellular carcinoma.Although antiviral therapy can effectively inhibit HBV replication,reversal of liver fibrosis remains a significant challenge in contemporary clinical practice,and some patients still face the risk of disease progression.With the distinctive advantages of"multiple targets and holistic regulation",traditional Chinese medicine(TCM)has gradually formed a comprehensive prevention and treatment strategy integrating traditional theories and modern scientific research evidence."Weakened body resistance and blood stasis"are the core pathogenesis of liver fibrosis and exist throughout the course of the disease,and therefore,the treatment of this disease should focus on stage-specific differentiation and address both the symptoms and root causes.In recent years,significant progress has been achieved in both clinical and basic research.This article systematically reviews the clinical effect and mechanism of action of classic TCM prescriptions(such as Biejia Decoction Pill,Dahuang Zhechong Pill,and Xiaochaihu Decoction),modern Chinese patent drugs,and core TCM drugs(such as Salvia miltiorrhiza,Astragalus membranaceus,and Bupleurum chinense)in the treatment of liver fibrosis.It also analyzes the current challenges in evidence quality and precise medication and proposes future research directions.It is recommended to enhance the role of TCM in the prevention and treatment of liver diseases by deepening research on the"disease-syndrome-prescription-effect-target"association and conducting high-level clinical trials and real-world studies.关键词
乙型肝炎/肝纤维化/抗肝纤维化药(中药)/治疗学Key words
Hepatitis B/Hepatic Fibrosis/Anti-Hepato Fibrosis Agents(TCD)/Therapeutics引用本文复制引用
李丽,徐春军..中医药治疗乙型肝炎肝纤维化研究进展[J].临床肝胆病杂志,2025,41(10):1961-1967,7.基金项目
北京市自然科学基金(7252217) Beijing Natural Science Foundation(7252217) （7252217）
