张吕夫中医辨证治疗小儿精索鞘膜积液经验举隅

精索鞘膜积液属中医＂水疝＂范畴。张吕夫主任认为,本病责之肝脾,是由于脾失健运,水湿不化,湿痰凝聚,留滞肝经,郁结不消所致,或有郁久化热,湿热蕴结所致。其本为脾虚失运,其标为寒湿或湿热蕴结,故治疗以通补兼施为大法,用健脾和胃治其本,行气燥湿、散结通塞消其癥,以达到治本截源、标本同治之功。

ZHANG Lu-fu TCM Treatment of Spermatic Cord Hydrocele in Children Experience Examples

Spermatic cord hydrocele is under Chinese＂water hernia＂category.Director ZHANG Lu-fu claims that the source of the disease is the liver and spleen disease.That is,failure transportation of the water,agglomeration of the wet sputum,stranded in the liver and needless blues appear after the losing health movement of spleen.Another reason is the stagnation of heat on a long time,which causes the combination of wet and hot.Its root cause is the loss of transport deficiency,but it showed a combination of cold and dampness,or heat.Combination of dredging and benefit is the treatment principles,which includes reconciling spleen and stomach,running Qi to dry wet,spreading blues to clear the occlusion.