自拟四草三皮二豆汤联合黄芪鲫鱼汤食疗治疗肝硬化腹水118例

With four grass three skin two bean soup combined with Astragalus crucian carp soup diet therapy in the treatment of 118 cases of ascites due to cirrhosis

目的:观察四草三皮二豆汤内服联合黄芪鲫鱼汤食疗治疗肝硬化腹水(中医辨证属于气滞血瘀证、肝郁脾虚证、气滞血瘀证)的临床疗效。方法:336例肝硬化腹水患者随机分为治疗组118例,对照组118例。治疗组给西医常规治疗+四草三皮二豆汤内服联合食疗治疗;对照组西药常规治疗(保肝和利尿治疗,参见《实用内科学》第11版肝硬化有关章节进行处理)。治疗4周,主要观察体重和腹围,用以了解腹水消退情况,比较两组临床疗效。结果:治疗组较对照组体重和腹围下降更明显,总有效率治疗组为92.0%,对照组为78.0%,经Ridit分析,两组疗效有显著差异(P<0.05)。结论:四草三皮二豆汤内服联合食疗治疗肝硬化腹水疗效肯定。

Objective： To observe the four grass three skin two bean decoction combined with Astragalus crucian carp soup nutritional therapy in treating ascites due to liver cirrhosis （TCM syndrome of qi stagnation and blood stasis, liver stagnation and spleen deficiency syndrome, qi stagnation and blood stasis） the clinical curative effect. Methods： 336 patients with liver cirrhosis were randomly divided into the treatment group of 118 cases, 118 cases in the control group. The treatment group was given routine treatment of Western medicine ＋ four grass three skin two bean soup orally combined with diet therapy; the control group （conventional western medicine treatment of protecting liver and diuretic therapy, see ＂practical＂ version eleventh cirrhosis Department of internal medicine relevant chapters for processing）. For 4 weeks, body weight and waist circumference were observed, to understand the ascites subsided, compared 2 groups of clinical curative effect. Results： in the treatment group than in the control group, body weight and abdominal circumference decreased more significantly, the total effective rate of treatment group was 92%, 78% in the control group, by the analysis of Ridit, a significant difference between the 2 groups （P〈0.05）. Conclusion： sure four grass three skin two bean soup orally combined with therapeutic efficacy in the treatment of ascites due to cirrhosis.