肝硬化腹水的中医病因病机及治疗研究进展

Research Progress on Etiology,Pathogenesis and Treatment of Liver Cirrhosis Ascites

腹水是肝硬化失代偿期常见的并发症之一,文章从中医方面对肝硬化腹水的病因病机及治疗进行归纳。认为病因主要包括酒食不节、情志不遂、虫毒感染、病后续发四个方面。病机关键在于肝、脾、肾三脏功能失调,本病在肝,关键在脾,久病及肾,涉及肺与三焦。其治疗以中医辨证论治、分期论治为主,敷脐疗法、穴位贴敷、针灸等中医外治也具有显著的临床疗效,对指导现代临床治疗臌胀具有重要意义。

Ascites is one of the common complications of cirrhosis.This paper summarizes the pathogenesis and treatment of cirrhosis from traditional Chinese medicine.It is believed that the causes mainly include food,illness,insect infection and the subsequent development of disease.The key to the pathogenesis lies in the dysfunction of the liver,spleen and kidney.This disease is in the liver,and the key is in the spleen,chronic disease and kidney,involving the lung and triple focus.Its treatment is mainly based on TCM syndrome differentiation and staging treatment.External treatment of umbilical application,acupoint application and acupuncture also has significant clinical effect,which is of great significance to guiding the modern clinical treatment of swelling.