从气机角度探讨肝硬化腹水的中医治疗-国际中医中药杂志.PDF

国际中医中药杂志2018年9月第40卷第9期 Int J Trad Chin Med, September 2018, Vol. 40, No.9 ·795 · ·专题论坛 · 从气机角度探讨肝硬化腹水的中医治疗 曾佑良 邱向红 【摘要】 水气病的发病机制与气机密切相关，但历代医家对水气病的认识多以脏腑理论为中心， 较少从气机角度探讨。本文从气机角度探究水气病，两者的关系可归纳为“气行则水行，气停则水停”， 故治疗水气病应重视气机。在消化系统疾病方面，肝硬化腹水是常见的水气病，本文将以肝硬化腹水为 例进行分析。 【关键词】 气机；水气病；肝硬化；腹水；中医治疗 Study on traditional Chinese medicine treatment of cirrhosis asites from the perspective of Qi activity Zeng Youliang, Qiu Xianghong. 2015 Master s Degree of Guangzhou University of Chinese Medicine, Guangzhou 510000, China Corresponding author: Qiu Xianghong, Spleen-Stomach Disease Research Institute, Guangzhou University of Chinese Medicine, Guangzhou 510000, China; Email: qiuxh@gzucm.edu.cn 【Abstract 】 The pathogenesis of edema disease is related to the Qi activity. However, in the past the understanding of edema disease is mostly centered on the theory of viscera, and it is less discussed from the perspective of Qi activity. This paper explores the edema disease from the perspective of Qi activity. The relationship can be summarized as Water metabolism depend on the movement of Qi, so the treatment of edema disease should be paid attention to the Qi activity. In the case of digestive diseases, cirrhosis ascites is a common edema disease. This article analyzes the cirrhosis ascites as an example. 【Key words 】 Qi movement; Eedema disease; Liver cirrhosis; Ascites; TCM treatment 肝硬化是消化科的常见病，是由不同病因长 的运行虽有多种形式，但基本形式是升降出入。 期作用于肝脏引起的慢性、进行性、弥漫性肝病 “升降出入”简而言之，即“向上、向下、向外、 终末阶段，常见并发症是腹水。腹水属于中医“水 向里”4 个矢量，这4 种基本的运动形式衍化出更 气病”范畴，腹水的形成主要由门静脉高压、血 高级的运动形式(脏腑功能)，五脏六腑的功能就 浆白蛋白降低等因素造成，西医治疗主要是控制 是建立在这 4 种运动形式的有机结合基础上，如 水钠