桂枝茯苓丸加减辨治妇科肿瘤术后盆腔包裹性积液经验探析  

Experience of Guizhi Fuling Pills in the treatment of postoperative pelvic encapsulated effusion in gynecological tumors

作　　者：薛莹 康宁 孙颖 高辰 李仝 XUE Ying;KANG Ning;SUN Ying;GAO Chen;LI Tong(Beijing University of Chinese Medicine,Beijing 100029,China;Beijing University of Chinese Medicine Third Affiliated Hospital,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学第三附属医院,北京100029

出　　处：《中华中医药杂志》2023年第2期675-678,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：盆腔包裹性积液作为妇科肿瘤术后常见并发症之一,严重影响患者的愈后及生活质量。李仝教授认为,该病病机以本虚标实为主,正气虚衰,脏腑功能失调是其发病基础,血水互结,互病互累是其病理关键;在治疗中,强调血水同治,行水祛瘀,扶正固本,脏腑同调,在辨证基础上采用桂枝茯苓丸加减治疗妇科恶性肿瘤术后包裹性积液,取得了显著疗效。As one of the common complications after gynecological tumor surgery,pelvic encapsulated effusion seriously affects patients’ healing and quality of life. According to professor LI Tong,the pathogenesis of the disease is based on the deficiency of the essence and the symptoms of the disease,the deficiency of the vital energy and the dysfunction of the internal organs are the basis of its pathogenesis,and the key to its pathology is the mutual involvement of blood and water.In the treatment,emphasis is placed on treating blood and water together,moving water to dispel stasis,supporting the root,and regulating the internal organs together. Based on the identification of the evidence,Guizhi Fuling Pills with addition and subtraction was used to treat post-operative encapsulated effusion of gynecological malignant tumor,and remarkable results were achieved.

关 键 词：妇科肿瘤 盆腔包裹性积液 桂枝茯苓丸 李仝 临床经验 术后 

分 类 号：R249[医药卫生—中医临床基础] R273[医药卫生—中医学]