消臌汤治疗肝硬化腹水53例疗效观察

Observation of Effect on Treatment of 53 Cases of Ascites due to Cirrhosis with Xiao Gu Tang

采用消臌汤（甘遂、大黄、大腹皮、茯苓、沉香、大枣、砂仁）加减，治疗肝硬化腹水53例，平均服用24．3剂．治愈30例，好转14例，无效9例．总有效率86．8％。单纯腹水有效率为95．8％，兼并发症腹水有效率为72％。辨证分型以气滞湿阻型有效率最高，湿热蕴结型次之，脾肾阳虚型最低。

Author treated 53 cases of ascites due to cirrhosis with modified Xiao Gu Tang (Kansui root,rhubarb, shell of areca unt, Poria, eagle wood, Chinese-date, amomum fruit), the results showed that cure was 30 cases, improvement 14, inaction 9, a total effective rate 86. 8%. The effective rate of simple ascitic fluid was 95. 8%, The effective rate of ascitic fluid with complications was 72%. The effective rate of stagnation of qi and retention of dampness was better than that of retention of damp-heat in the interior, the effective rate of the latter was better than that of insufficiency of both the spleen and the kidney.