赵文霞治疗肝硬化合并门脉高压性胃病出血经验

ZHAO Wenxia’s Experience in Treating Hepatic Cirrhosis Complicated with Portal Hypertensive Gastropathy

总结赵文霞治疗肝硬化合并门脉高压性胃病出血的经验。提出火、瘀、虚为本病三大病机,其中血瘀贯穿病程始终,为疾病中心环节,火和虚皆可致瘀,为导致出血的关键病机。临证治疗时首当详辨火、瘀、虚何为主要病机。注重标本缓急的治疗原则,出血活动期以止血为主,出血恢复期当以防止再次出血为主,可根据病机辨证施治巩固疗效。并将'杂合以治'的理念运用于临床实践,在辨证治疗的基础上运用不同的中药剂型、给药途径,同时将中药灌肠、针灸等多种治疗方法并用以提高疗效,且强调辨证调摄以防止复发。

This paper summarized ZHAO Wenxia’s experience in treating hepatic cirrhosis with portal hypertensive gastropathy caused bleeding.It is proposed that fire,stasis and phlegm are the three major pathogenesis of this disease.Blood stasis runs through the course of the disease,and it is the central link of the disease.Both fire and deficiency can cause stasis,which is the key pathogenesis leading to bleeding.In the case of clinical treatment,main pathogenesis of fire,stasis and phlegm should be carefully differentiated first.Pay attention to the principle of superficial or roots as well as chronic or acute.Stop bleeding during the active period of bleeding,and prevent re-bleeding during the recovery period,and to consolidate the curative effect according to the syndrome differentiation.The concept of'mixed treatment'is applied to clinical practice.Different forms of Chinese medicine and administration are applied on the basis of syndrome differentiation treatment.Meanwhile,various treatment methods such as enema of traditional Chinese medicine and acupuncture are used to improve the curative effect,and the syndrome differentiation is emphasized to prevent recurrence.