张维骏教授运用泄水汤治疗原发性肝癌腹水经验

Professor Zhang Weijun′s experience in treating ascites of primary liver cancer with Xieshui Decoction

肝癌腹水归属中医学“鼓胀”范畴,张维骏教授将鼓胀分为气滞湿阻、水湿困脾、湿热蕴结、肝脾血瘀、脾肾阳虚、肝肾阴虚6种证型,并在陈士铎《辨证录》中筛选出有效方剂“泄水至神汤”,以此为基础方,化裁为专方“泄水汤”治疗肝癌腹水,方义健脾行气、益肾逐水,体现了中医辨病与辨证相结合的治疗特色,取得肯定疗效。

Liver cancer ascites belongs to the category of“tympanites”in traditional Chinese medicine.Professor Zhang Weijun divides the tympanites into six types:qi stagnation and dampness obstruction,dampness encumbering the spleen,accumulated damp-heat,blood stasis of liver and spleen,yang deficiency of spleen and kidney and yin deficiency of liver and kidney.Prof.Zhang screens the effective formula of Xieshui Zhishen Decoction from Bian Zheng Lu by Chen Shiduo,and develops a special formula called Xieshui Decoction on the basis of Xieshui Zhishen Decoction for the treatment of liver cancer ascites.Xieshui Decoction aims at invigorating the spleen,promoting qi,nourishing the kidney and removing dampness,embodying the therapeutic characteristics of combining disease differentiation and syndrome differentiation of traditional Chinese medicine,and achieving positive curative effect.