应用消攻补三法论治肝硬化腹水

肝硬化腹水属中医学膨胀范畴,因其病因病机复杂,证候多变,治法甚多,归纳之不外消、攻、补三法：消法着重于肝、包括行气、活血、利水、消胀等法;攻法着重于肠胃,包括逐水、攻下、破瘀、消坚等法;补法着重于脾肾,包括益气、健脾、被益气血、温补脾肾、滋补肝肾等法。但三法通常不宜单独长期使用,往往是先后参杂或同时兼用,实证宜攻,但攻中应以补法佐之;虚证宜补,但补中当兼泻或兼消。

Treatment of Cirrhotic Ascites by Therapies of Despersion, Elimination and Invigoration

Cirrhotic ascites is attributed to the category of "tympanites" in TCM. Its etiology and pathogenesis are complicated and its manifestations are various. Its treatment and multiple and can be summarized as dispersion, elimination and invigoration. Dispersion aims at the liver, including qi and blood, activating diuresis and distension relieving. Elimination airm at the gastrointestine, including fluid purging, blood - stasis removing and mass softening. Invigoration aims at the spleen and kidney, including qi benefiting, spleen strengthening, qi and blood tonifying, spleen and kidney warming, and liver and kidney nourishing. However, these three methods should not be applied individually for a long time, and usually used sucessively or simultaneously. Moreover, elimination is advisable for excess syndrome and supplemented by invigoration, and invigoration is applicable to deficiency syndrome and supplemented by purgation or dispersion.