中医臌胀病论治发展源流

Origin and Development of Treatment of Guzhang Syndrome (Ascitis and Abdominal distention) in TCM

臌胀病的理论与证治是随着时代的前进而不断发展的。春秋战国至汉晋时期，《内经》、《伤寒论》等书所论，为后世学术的发展奠定了基础。唐宋金元时期，对于臌胀病认识、治疗理论和临床，均有新的突破和创新，尤其是金元医家主攻派与主补派的论争，更加促进了臌胀研究的进一步深入发展。明清时期医学在总结前人论治臌胀的基础上，赋予新义，并有所发明，无论在病因病机还是诊断，治法方药上均有较大的进步。近现代医学继承和发扬前人经验，并注重与现代医学相结合，使其学术理论与临床实践日趋完善。

The theory and treatment of Guzhang syndrome was continuously developing as time went on. From Spring and Autumn, Warring States to the Han Jin period, Neijin and Shang Han Lun laid down the foundation for the development of later ages. During the Tang Song Jin Yuan periods, there were breakthrough and inventions in the recognition theory and treatment, particularly the contention between Gong (purgation) and Bu (reinforce) schools, thus further promoting the development of research on Guzhang dyndrome. During Ming Qing dynasties, based on summing up the experiences of forerunners, new implication or the causes, pathomechanism, diagnosis and treatment appeared with even greater progress. After inheriting and developing the available experiences, modern and contemporary doctors paid attention to combining TCM with modern medicine so that the theory and practice can be more perfected.