谢晶日基于络病理论治疗肝硬化腹水经验

Xie Jingri’s Experience in Treating Cirrhotic Ascites Based on Collateral Disease Theory

本文介绍谢晶日教授基于络病理论阐述肝硬化腹水的病因病机及治疗的临床经验。谢晶日教授认为,肝硬化腹水多为本虚标实、虚实夹杂证;其中,络虚不荣为肝硬化腹水发病之本,气滞、水湿、血瘀等邪阻络脉是其标。治疗应以补虚通络、行气通络、祛湿通络、活血通络为基本原则。附肝硬化腹水气滞络阻证一则,治以行气通络,临床疗效显著。

This article introduced Professor Xie Jingri’s clinical experience in explaining the etiology,pathogenesis and treatment of cirrhotic ascites based on the theory of collateral disease.Professor Xie Jingri believes that cirrhotic ascites is mostly the syndrome of deficiency in origin and excess in superficiality,and the mixture of deficiency and excess.Among them,the deficiency of collaterals is the root of the pathogenesis of cirrhotic ascites,and qi stagnation,water dampness,blood stasis and other pathogenic factors blocking collaterals are its superficiality.The treatment should be based on the basic principles of tonifying deficiency and dredging collaterals,promoting qi and dredging collaterals,removing dampness and dredging collaterals,and promoting blood circulation and dredging collaterals.One medical case about liver cirrhosis ascites of qi stagnation and collateral obstruction type was attached in this article.The treatment should be promoting qi and dredging collaterals,with confirmed clinical efficacy.