患者，女，28岁。妊娠32周，身目俱黄，色鲜明如橘子色，右胁胀痛，恶心厌食，口苦咽干，胸胁痞满，倦怠乏力，尿黄便坚;舌质红，苔黄腻，脉濡数。肝功能:ALT89U/L，AST60U/L，血清总胆红素25.6μmol/L，直接胆红素12.3μmol/L，间接胆红素13.3μmol/L。该患者的诊断及辨证分型为

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