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Chinese Journal of Antituberculosis ›› 2025, Vol. 47 ›› Issue (10): 1249-1253.doi: 10.19982/j.issn.1000-6621.20250327

• Special Topic • Previous Articles     Next Articles

Exploring diagnostic and therapeutic approaches for latent tuberculosis infection based on the theory of hidden pathogen (Fu Xie)

Feng Yinping1, Zhang Zunjing1, Cai Qiujie2, Wang Xiaomeng2, Ma Yan2(), Liu Zhongda1(), Gao Lei3()   

  1. 1Department of Tuberculosis, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang Chinese Medical University/Lishui Clinical Medical Research Center for Tuberculosis, Lishui 323000, China
    2Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China
    3Chinese Antituberculosis Association, Beijing 100700, China
  • Received:2025-08-11 Online:2025-10-10 Published:2025-09-29
  • Contact: Ma Yan, Email: mayan0825@sina.com; Liu Zhongda, Email: ls2156198@163.com; Gao Lei, Email: gaolei@ipbcams.ac.cn
  • Supported by:
    National Key Research and Development Program(2023YFC3503405)

Abstract:

In Traditional Chinese Medicine (TCM) categorizes tuberculosis (TB) as “consumptive disease” (lao bing) or “consumptive disorder” (lao zhai). Latent tuberculosis infection (LTBI) is the primary source of TB onset and a continuous reservoir of new cases. LTBI presents with concealed clinical symptoms, aligning with the characteristics of “latent pathogen”(fu xie) in TCM. Authors review the origin and core principles of the latent pathogen theory, correspondence with the latent biological features of Mycobacterium tuberculosis. On this basis, a TCM diagnostic and therapeutic approach of “treatment based on stage differentiation”(fen qi bian zhi) and “syndrome-based treatment”(fen zheng lun zhi) is proposed, aiming to provide theoretical references for the early intervention of LTBI with TCM, regulation of immune homeostasis, and further reduction of TB incidence.

Key words: Mycobacterium infections, Medicine, Chinese traditional, Consensus development conferences as topic

CLC Number: