基于《黄帝内经》臌胀理论分析肝硬化腹水的中医诊治

TCM diagnosis and treatment of cirrhosis ascites based on meteorism theory in Huangdi's Internal Classics

肝硬化腹水在临床较为常见,具有较高的发病率和病死率,西医虽具有一定疗效,但无法根治疾病。中医将肝硬化腹水归属于"臌胀"的范畴,在《黄帝内经》中对其进行了详细记载。本文从《黄帝内经》臌胀理论角度出发,将肝硬化腹水的病因病机分为瘀血结聚、热盛气郁、脾虚水停三种类型,对其发病机制进行研究,以提高临床对肝硬化腹水的认识,从而及时发现和诊断肝硬化腹水,根据肝硬化腹水的病因病机,对患者进行辨证施治。结合《黄帝内经》臌胀理论,总结肝硬化腹水的活血化瘀、通利下气、利水健脾、针刺放水以及治其未病等治疗方法,分析各治疗方法的适用性和有效性,从而提出对于不同阶段患者应采取不同的方法治疗,初期阶段气机郁滞其治疗应以通利下气为主,随着病情加重出现气滞血瘀的患者应进行活血化瘀治疗,晚期患者正气虚弱,其治疗应以扶正健脾为主,平缓用药治疗。本研究旨在分析总结肝硬化腹水的病因病机、治疗以及预后,从而有效提高中医诊治肝硬化腹水的临床效果,为临床诊治肝硬化腹水提供重要理论依据,有效减轻肝硬化腹水给患者造成的痛苦,提高患者生存质量,充分发挥中医药治疗的优势,实现标本兼治,巩固疗效,减少疾病复发。

Cirrhosis of the liver ascites is very common in clinical practice and is of higher morbidity and mortality,although western medicine has certain curative effect,it can not cure the disease.The Chinese medicine classifies liver cirrhosis ascites into the“bulge”category,Huangdsi'Internal Classics has detailed records of it.This article classifies the etiology and pathogenesis of ascites into three kinds based on meteorism theory in Huangdsi'Internal Classics and studies its pathogenesis in order to improve the clinical understanding of liver cirrhosis with ascites and timely detection and diagnosis of ascites due to cirrhosis.Treatment of liver ascites is summarized based on meteorism theory in Huangdsi'Internal Classics.The purpose of this study is to summarize the etiology and pathogenesis of ascites due to cirrhosis as well as its treatment and prognosis,so as to improve the clinical effect of traditional Chinese medicine diagnosis and treatment and provide an important theoretical basis for the clinical diagnosis and treatment of ascites due to cirrhosis,to effectively relieve pain,improve the quality of life of patients,give full play to the advantages of Chinese medicine treatment to achieve the consolidate curative effect and reduce the recurrence of the disease.