党中勤教授治疗顽固性肝硬化腹水临床验案分析  

Clinical case analysis of treating refractory HLCA by professor Dang Zhongqin

作　　者：刘思萌 党中勤[2] 徐璐一 潘会珍 Liu Simeng

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南省中医院,河南郑州450002

出　　处：《中医临床研究》2020年第1期96-98,共3页Clinical Journal Of Chinese Medicine

摘　　要：肝硬化腹水是肝硬化失代偿期最常见的临床表现,是多种慢性肝损害动态发展的严重阶段,现代医学治疗本病以利尿、提高血浆胶体渗透压、腹水浓缩回输、经颈静脉肝内门体分流术等治疗为主。单纯西医虽已经到达到良好效果,但却极易复发,诱发电解质紊乱、肝性脑病等病发症的出现。中医学将本病归属于“臌(鼓)胀病”范畴,中医药治疗本病历史悠久,经验丰富,党师结合多年临床经验,以“行气利水、健脾益肾、活血化瘀、通腑降浊”为治疗原则,收效桴鼓。HLCA is a normal clinical manifestation of decompensated cirrhosis of liver,and is a serious stage of the dynamic development of a variety of chronic liver damage.Modern medicine treats the disease mainly by diuresis,increasing plasma colloid osmotic pressure,ascites concentration and return,and transjugular intrahepatic portosystemic shunt.Although western medicine has achieved good results,it is very easy to relapse and induce the occurrence of electrolyte disorders,hepatic encephalopathy and other diseases.In the TCM,the disease belongs to the category of the Guzhang disease(臌胀病).TCM medicine has a long history and rich experience in treating this disease.According to the teacher Dang’s clinical experience,Xingqi Lishui(行气利水),Jianpi Yishen(健脾益肾),Huoxue Huayu(健脾益肾),Tongfu Jiangzhuo(通腑降浊)are the principle of treatment.

关 键 词：肝硬化 腹水 临证经验 党中勤 臌胀 

分 类 号：R442.5[医药卫生—诊断学]