从“大气一转,其气乃散”论恶性腹水的中医治疗

Discussion on traditional Chinese medicine treatment of malignant ascites from the theory of“once the pectoral qi runs,the water qi is dispersed”

“大气一转,其气乃散”是《金匮要略》中治疗水气病的经典理论。大气统领体内气血,恶性肿瘤患者本虚标实、气滞痰瘀、毒邪内结的体质特点,导致体内“大气”不得正常运转,影响脏腑经络功能,从而导致恶性腹水的产生。在“大气一转,其气乃散”理论指导下,对恶性腹水进行中医辨证分型,包括气虚水停、气滞水停、水热互结、阳虚水停、瘀水互结等分型,并探讨恶性腹水的中医治疗,通过补气利水、行气利水、清热利水、温阳利水、活血利水等法,大气得以正常运转,恶性腹水得散。

“Once the pectoral qi runs,the water qi is dispersed”is the classical theory of treatment of water pathogen disease in Jingui Yaolue.The pectoral qi governs qi and blood in the body,the physical characteristics of malignant tumour patients,such as deficiency in root and excess in superficiality,qi stagnation and phlegm stasis,and internal binding of toxin factor,lead to the abnormal operation of the pectoral qi in the body,which affects the functions of internal organs and meridians,leading to the production of malignant ascites.Under the guidance of the theory of“Once the pectoral qi runs,the water qi is dispersed”,the malignant ascites was classified by traditional Chinese medicine syndrome differentiation,including the types of qi deficiency and water stagnation,qi stagnation and water stagnation,water-heat interconnection,yang deficiency and water stagnation,and stasis and water interconnection,and discusses the traditional Chinese medicine treatment of malignant ascites,including invigorating qi and disinhibiting water,activating qi and disinhibiting water,clearing heat and and disinhibiting water,warming yang and disinhibiting water,and activating blood and disinhibiting water,pectoral qi can function normally,so that malignant ascites could be dispersed.