以"血不利则为水"论治恶性腹腔积液
Treatment of Malignant Ascites with the Theory of"Unsmooth Blood Circulation Results in Water Retention"
曾琼 1张龙飞 1李芳 1赖恒周 1肖冲 1祝捷1
作者信息
- 1. 成都中医药大学附属医院(四川 成都 610075)
- 折叠
摘要
恶性腹腔积液是中晚期癌症常见的并发症之一,严重降低癌症患者的生活质量及生存期.基于"血不利则为水"理论,认为血水代谢相因,互累互病是恶性腹腔积液的发病基础,并根据"血不利"的不同程度认为气郁血滞、热壅血瘀、阴虚血干为该病病程的 3 个阶段,治疗上以"血利则水消"为总则,提出理气活血以行水、泄热散瘀兼逐水、养阴破瘀并利水的治法,以期为恶性腹腔积液的临床治疗提供思路.
Abstract
Malignant ascites is one of the common complications of medium and advanced cancer.It seriously reduces the quality of life and survival of patients with cancer.Based on the theory that"unsmooth blood circulation results in water retention",it is believed that blood and water are metabolically related,and their mutual involvement and failure are the basis for the pathogenesis of malignant ascites.According to the different degrees of"unsmooth blood circulation",the three development stages of the disease are Qi depression and blood stasis,heat congestion and blood stasis,and Yin deficiency and blood dryness.The general rule of treatment follows"if the blood is relieved,the water will disappear".Therefore,this paper proposed the treatment methods of regulating Qi and invigorating blood to transport water,draining heat and dispersing blood stasis to expel water,and nourishing Yin to eliminate blood stasis and promote water circulation,so as to provide ideas for the clinical treatment of malignant ascites.
关键词
恶性腹腔积液/血不利则为水/瘀血Key words
malignant ascites/unsmooth blood circulation results in water retention/blood stasis引用本文复制引用
基金项目
"杏林学者"学科人才科研提升计划博士后专项(BSH2021020)
出版年
2024
国家科技期刊平台
NSTL
万方数据