中西医结合治疗脾肾阳虚型腹水疗效观察  

Curative Effects Observation of Treating Ascites of Spleen-kidney Yang Deficiency Type by the Integration of Traditional Chinese Medicine and Biomedicine

作　　者：韩凯 

机构地区：[1]中国平煤神马集团天宏焦化公司职工医院,河南平顶山467021

出　　处：《中医学报》2012年第10期1369-1370,共2页Acta Chinese Medicine

摘　　要：目的:探讨中医药治疗脾肾阳虚型腹水的临床疗效。方法:将60例脾肾阳虚型腹水患者随机分为两组,对照组以常规西药治疗,治疗组在对照组治疗的基础上加用实脾饮[方药组成:干姜、制附子各9 g,白术15 g,厚朴、草果各12 g,木香、木瓜、大腹皮各10 g,益母草、怀牛膝、车前子(包煎)、茯苓各3 0 g,炙甘草6 g]治疗。结果:治疗组有效率为93.33%,对照组有效率为76.67%;两组有效率经χ2检验有显著性差异(P<0.05)。结论:选用具有温养脾肾,行气导水之功的实脾饮加减治疗脾肾阳虚型腹水疗效显著。Objective：To discuss the clinical effects on the treatment of ascites of spleen-kidney yang deficiency type by traditional Chinese medicine.Methods：60 cases of ascites patients of spleen-kidney yang deficiency type were randomly divided into two groups.The control group was given routine western medicine treatment,while the treatment group was additionally given Shipi Decoction[composition：Zingiber officinale Rosc 9 g,Aconitum carmichaeli Debx 9 g,Atractylodes macrocephala Koidz 15 g,Magnolia officinalis Rehd 12 g,Amomum tsao-ko Crevostet Lemari 12 g,Aucklandia lappa Decne10 g,Chaenomelesspeciosa Nakai10g,Areca catechu 10 g,Leonurus japonicus Houtt 30 g,AchyranthesbidentataBl 30 g,Plantago asiatica（wrap-boiling） 30 g,Wolfiporia cocos 30 g,Radix Glycyrrhizae Preparata 6 g] on the basis of the control group.Results：The curative effect rate of the treatment group and control group was 93.33% and 76.67% respectively;χ2 test was used to compare curative effect rate of both groups,and the difference was significant（P0.05）.Conclusion：The addition and subtract of Shipi Decoction with the function of warming and nourishing spleen and kidney,circulating qi and dredgomg water has great curative effect in treating ascites of spleen-kidney yang deficiency type.

关 键 词：脾肾阳虚型 腹水 实脾饮 

分 类 号：R259.72[医药卫生—中西医结合]