Professor ZHANG Yongqiang's experience in treating cancerous ascites with the Shenqi Zhenwu decoction
Cancerous abdominal effusion is a common complication of advanced tumors,and is also one of the difficulties in tumor treatment,which seriously affects the quality of life and survival time of patients.According to the characteristics and clinical manifestations of this disease,and combined with many years of clinical experience.Professor ZHAO Yongqiang proposes that the causes of this disease can be divided into external cause and internal cause.The invasion of cancer toxin is the external cause,and Yang(阳)deficiency in five internal organs is the internal cause.The interaction between the two causes leads to Yang deficiency in the spleen and kidney and the inability to transport water and retained fluid.Finally,retained fluid and cancer toxin are solidified and accumulated in the abdominal cavity,resulting in cancerous ascites.The lesion is complicated,the course of the disease is lingering and difficult to heal,and the disease condition is getting worse and worse.Based on the evolution rule of the disease,Professor ZHAO Yongqiang points out that Yang deficiency is the root cause of accumulation,and concludes that the pathogenesis of the disease is accumulation due to Yang deficiency,and the disease is mainly in the spleen and kidneys,involving the lungs.Yang deficiency in the spleen and kidney is the root cause,the stagnation of water and dampness,and Qi(气)stagnation and blood stasis are the external symptoms.The pathogenesis essence of the disease is fundamental deficiency and superficial excess,namely,the combination of deficiency and excess.On the basis of the pathogenesis,Professor ZHAO Yongqiang proposes that the treatment principle for this disease is warming Yang and dissipating accumulation.The purpose of warming Yang is solving the root problem,and the purpose of dissipating accumulation is to relieve external symptoms.The treatment principle is to warm Yang,dissolve retained fluid,and promote Qi and blood circulation.The prescription is mainly composed of the Shenqi Zhenwu decoction(参芪真武汤),accompanied by the medicines for promoting Qi,activating blood circulation,and eliminating accumulation,in order to take its function of strengthening healthy vitality and dispelling pathogenic factors,which shows unique advantages in improving the quality of life and prolonging the survival time of patients.Professor ZHAO Yongqiang advocates the therapeutic principle of reconciling,pays attention to the protection of healthy vitality,and emphasizes that the elimination of pathogens should not be too urgent and excessive,but both strengthening healthy vitality and eliminating pathogenic factors should be taken into account,which reflects the treatment ideas of strengthening healthy vitality and reconciling.
Cancerous ascitesYang deficiency in the spleen and kidneyThe Shenqi Zhenwu decoctionFamous doctor's experience
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