基于“亢害承制”理论探讨肝硬化腹水的防与治  

Discussion on the prevention and treatment of ascites in liver cirrhosis based on the theory of"Harmful Hyperactivity and Responding Inhibition"

作　　者：郑鑫卓 牛作虎 武璇 徐春军[2] ZHENG Xin-zhuo;NIU Zuo-hu;WU Xuan;XU Chun-jun(Graduate School of Beijing University of Chinese Medicine,Beijing,100029,China.)

机构地区：[1]北京中医药大学研究生院,北京100029 [2]首都医科大学附属北京中医医院肝病科

出　　处：《中西医结合肝病杂志》2025年第3期356-358,共3页Chinese Journal of Integrated Traditional and Western Medicine on Liver Diseases

基　　金：北京中医医院院级课题暨两院合作课题(No.LYZD202205);北京中医医院“宽街明医”工作室-徐春军工作室,关幼波“三名”传承工作室。

摘　　要：基于“亢害承制”理论,探讨肝硬化腹水的发病机理与治疗原则。肝硬化腹水发病的根本原因在于肝、脾、肾亢而失职,承制不及,气、血、水积而为害;疾病进展的关键因素为五脏相通,传其所胜。在治疗上,本文认为有“平其所亢,承而制之”和“扶其所胜,先安未受邪之地”两大治则。理气活血、养血柔肝以平肝之亢,利水燥土、健脾和胃以平脾之亢,温补肾阳、益肾填精以平肾之亢,既病与未病兼顾,尽早恢复脏腑功能,使承制有常,从而实现肝硬化腹水的防与治。Ascites in cirrhosis is the most common complication in the decompensated stage of cirrhosis,with high morbidity and mortality,which seriously affects the prognosis and quality of life of patients.Based on the theory of"harmful hyperactivity and responding inhibition",this paper proposes that hyper-victimization of liver,spleen,and kidney,failure of bearing and controlling,and accumulation of qi,blood,and water are the root causes of cirrhosis ascites,and that the interconnection of the five viscera and the transmission of their victories are the key factors of the disease progression.In the treatment,there are two major treatment principles,namely,leveling the hyperactivity of the organs;carrying and controlling the organs,and supporting the victory of the organs.Firstly,restoring the place not subjected to evil,regulating qi and activating the blood,nourishing the blood and softening the liver in order to level the hyperactivity of the liver;inducing water and drying up the earth,strengthening the spleen and the stomach in order to level the hyperactivity of the spleen;warming and tonifying the kidney yang,benefiting the kidneys and filling up the essence in order to level the hyperactivity of the kidneys.Taking into consideration of the established and the yet to be disease,restoring the function of the internal organs and organs as early as possible.Through these measures,the systematic control is made normal,thus realizing the prevention and treatment of cirrhosis of liver with ascites.

关 键 词：亢害承制 肝硬化腹水 防治 

分 类 号：R256.4[医药卫生—中医内科学]