摘要
肝硬化腹水为常见慢性病,是中医难治性疾病。本文梳理国医大师张志远先生肝硬化腹水相关论治,按照气滞水停、脾虚水停、湿热水停、血瘀水停、脾肾阳虚水停、阴虚水停分别归纳总结。发现张志远先生认为肝硬化腹水病位在脾,兼及肝肾,病情虚实夹杂,寒热错杂,临证治疗以经方为主,辅以时方、验方和家传方,核心在于运脾,擅长使用大剂量白术、茯苓,遣方用药精练而巧妙,可为临床治疗肝硬化腹水提供新思路。
Cirrhosis and ascites are common chronic diseases and are difficult to treat with traditional Chinese medicine.This reviews the treatment of liver cirrhosis and ascites by Professor ZHANG Zhi-yuan,and summarizes them respectively according to the symptoms of qi and water stagnation,spleen deficiency and water cessation,damp and hot water stagnation,blood stasis and water stagnation,Yang deficiency of spleen and kidney and yin deficiency and water stasis.It was discovered that ZHANG Zhi-yuan believes that the location of liver cirrhosis and ascites is in the spleen,as well as the liver and kidneys.The condition is mixed with deficiency and excess,and mixed with cold and heat.Clinical treatment is mainly based on classic prescriptions,supplemented by current prescriptions,empirical prescription and ancestral prescriptions.The core is to transport the spleen,and he is good at it.Using large doses of Atractylodes macrocephala and Poria cocos,the prescription is concise and clever,which can provide new ideas for the clinical treatment of cirrhosis and ascites.
作者
李云峰
李丽康
宋佳宁
刘巨海
LI Yunfeng;LI Likang;SONG Jianing(Institute of Traditional Chinese Medicine Literature and Culture,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China;School of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China)
出处
《四川中医》
2025年第2期1-5,共5页
Journal of Sichuan of Traditional Chinese Medicine
基金
国家中医药管理局高水平中医药重点学科建设项目(国中医药人教函[2022]226号)
齐鲁医派中医学术流派传承工作室建设项目(鲁卫函[2022]93号)。
关键词
国医大师
张志远
肝硬化腹水
学术经验
Master of traditional Chinese medicine
Zhang Zhiyuan
Liver cirrhosis and ascites
Academic experience
