谢晶日以经方为主辨治肝硬化腹水经验

Xie Jingri's experience in treating ascites due to cirrhosis based on classical prescriptions

探讨谢晶日以经方为主辨治肝硬化腹水的经验。谢氏认为本病的特点为本虚标实,邪正交争。本虚包括肝、脾、肾之阴阳气血亏虚,标实包括气、血、水、毒交争互结于中。诊疗善用五苓散、五皮饮、八正散、膈下逐瘀汤、四逆散、甘草泻心汤、六味地黄丸、四君子汤等经方,配合三黄汤加减保留灌肠。

This paper discusses Xie Jingri＇s experience in the treatment of ascites due to cirrhosis based on classical prescriptions. It is believed that the characteristics of this disease are deficiency in origin and excess in superficiality, struggle between vital qi and pathogenic factors. The deficiency in origin includes deficiency of yin, yang, qi and blood in liver, spleen and kidney, and the excess in superficiality includes intermingled struggle among qi, blood, water and toxin. In the clinical diagnosis and treatment, the classic prescriptions are made good use, such as Wuling Powder, Wupi Decoction, Bazheng Powder, Gexia Zhuyu Decoction, Sini Powder, Gancao Xiexin Decoction, Liuwei Dihuang Pill, Sijunzi Decoction, with modified Sanhuang Decoction retention enema.