[摘要] 近年，中草药相关肝损伤(herb-induced liver injury， HILI)问题备受关注，HILI因具有联合用药复杂、组成成分多样及体质、遗传、基础疾病等特点，导致其临床诊断比西药肝损伤诊断更加困难。中华中医药学会在2016年发布国内外首个专门针对HILI的诊疗技术标准——《中草药相关肝损伤临床诊断指南》(以下简称《指南》)。为便于广大临床医师特别是肝病专科医师在诊断HILI时对《指南》的操作应用，该文将不同诊断结果的病例诊断流程予以解析。

    [关键词] 药物性肝损伤； 诊断； 中草药； 病例

    [Abstract] In recent years， the issues related to herb-induced liver injury (HILI) have received much concern. Its clinical diagnosis is much difficult than that of Western medicine-induced liver injury due to its complicated drug combination and multiple constituents. Moreover ......