摘要
总结周仲瑛辨治肝硬化腹水的学术经验.中医学认为肝硬化腹水本虚标实,虚实夹杂,正虚邪盛,基本病机是肝失疏泄,脾失健运,肾失气化,致气、血、水互结形成鼓胀.整理分析周仲瑛治疗肝硬化腹水的相关病案,发现湿、热、郁、气滞、血瘀、水停等多种病理因素与肝肾阴虚、脾肾阳虚等正虚证混杂出现,动态演变,呈现复合病机.针对肝硬化腹水的复合病机,周仲瑛强调审机论治,多法并用,灵活运用通利二便法、理气开郁法、清热祛湿法、化瘀通络法、扶正补虚法等,复法组方,随症配伍,临床疗效显著,并附验案2则介绍如下.
Abstract
This paper summarizes Professor Zhou Zhongying's academic experience in the differentiation and treatment of ascites due to liver cirrhosis.Traditional Chinese medicine believes that the disease is characterized by syndromes of deficiency in its root cause while excess in its manifestations,intermingled deficiency and excess,healthy qi deficiency and pathogen excessiveness,while its basic pathogenesis lies in the dysfunction of liver in conveyance and dispersion,dysfunction of spleen in transportation,and dysfunction of kidney in qi transformation,resulting in the congestion of qi,blood,and water,ultimately leading to swelling.By analyzing the relevant medical records of Professor Zhou Zhongying's treatment of ascites due to liver cirrhosis,it is found that multiple pathological factors such as dampness,heat,depression,qi stagnation,blood stasis,and water retention are intermingled and dynamically evolve with vital qi deficiency syndromes such as yin deficiency of liver and kidney,yang deficiency of spleen and kidney,forming a compound pathogenesis.In view of this compound pathogenesis,Professor Zhou Zhongying emphasizes its differentiation and treatment,flexibly using multiple methods such as promoting diuresis and fecal excretion,regulating qi-flowing and relieving depression,removing heat and dampness,resolving blood stasis and unblocking collaterals,and consolidating vital qi and tonifying deficiency.He drafts prescriptions based on the multiple treatment methods,adjusts medicine compatibilities according to specific symptoms,achieving a significant clinical efficacy.Two experimental cases are attached to the analysis in this paper.
基金项目
江苏省社会发展重点研发计划项目(BE2019723)
江苏高校优势学科建设工程资助项目(PAPD)()
国家中医药管理局"国医大师周仲瑛传承工作室"建设项目(国中医药人教发[2010]59号)
江苏省研究生培养创新工程研究生科研与实践创新计划项目(SJCX21_0775)
维普
万方数据