通讯作者: 陈晓聪, chenxiaocong678@163.com

DOI：10.12201/bmr.202503.00011

Experience in treating malignant ascites from the method of removing blood stasis and resolving retained fluid

• 摘要：恶性腹水是晚期肝恶性肿瘤严重并发症之一,本文认为气、血、水(湿)是形成恶性腹水主要因素,其发病机制主要为“血不利则为水”和“气不利亦为水”,气机不利、瘀血、水饮为主要病因,将恶性腹水治疗原则归纳为逐瘀化饮,以疏肝理气,活血化瘀、温阳化饮,利水渗湿为基本治疗大法,并应用于临床,取得良好的疗效。现特总结相关经验,以期为恶性腹水中医临床治疗提供思路借鉴。

  关键词： 恶性腹水; 血不利则为水; 逐瘀化饮法

   

  Abstract: Malignant ascites is as a serious complication of advanced hepatic malignancy. In this article, we think that qi, blood and water (dampness) are the main factors in the formation of malignant ascites, and its pathogenesis is mainly “unsmooth blood circulation results in water retention” and “disorder of qi”, with disorder of qi, stasis of blood, and retained fluid as the main causes of the disease, and the treatment principle of malignant ascites is summarized as: removing blood stasis and resolving retained fluid, treating by dispersing the liver and regulating qi, activating blood circulation and eliminating blood stasis; warming yang and eliminating retained fluid, and promoting urination and draining dampness as the basic law, and applies in clinic, which achieves favorable therapeutic effect. Now we summarise the relevant experience, in order to provide ideas for the clinical treatment of malignant ascites in Chinese medicine.

  Key words: malignant ascites; unsmooth blood circulation results in water retention; removing blood stasis and resolving retained fluid

  提交时间：2025-03-05

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• 序号	提交日期	编号	操作
  1	2025-02-10	bmr.202503.00011V1	下载

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