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时间:2020-05-04
《康良石治疗乙肝肝硬化腹水经验-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、世界中西医结合杂志2014年第9卷第9期W0ridJournal0fIntegratedTraditionalandWestemMedicine2014,Vo1.9,No.9·923··国医传承·康良石治疗乙肝肝硬化腹水经验阮清发林立康曼睿康素琼【摘要】康良石教授对乙肝肝硬化腹水见解独到,认为乙肝病毒属湿热疫毒,因疫致郁,因郁致病;肝病日久成“虚实夹杂”“虚滞相兼”之演变;当累及肝脾肾功能失调,导致气道壅塞或(及)隧道不通,则水湿、瘀血、热毒诸邪内阻,清浊相混裹于腹中而成臌胀及诸变症。临床分肝脾气虚、气滞湿阻,肝肾阴虚
2、、瘀浊并阻,肝脾肾虚、热浊停聚三个证型辨证施治,并对上消化道出血、肝性脑病、感染等并发症辨证施治,疗效显著。康老还坚持衷中用西原则,倡用抗病毒西药等治疗。【关键词】康良石;中医;肝硬化;腹水;臌胀;治疗;经验【中图分类号】R575.2【文献标识码】A【DOI】10.13935/j.cnki.sjzx.140905ExperiencesofKangLiang——shiintheTreatmentofHepatitisBLiverCir-·rhosisAscitesRUANQing—fa,LINLi,KANGMin—rui
3、,KANGSu—qiong(XiamenChineseMedicineHospital,XiamenFujian361009)【Abstract】Prof.KangLiang—shihadveryuniquerecognitiononhepatitisBlivercirrhosisascites(HLCA).Prof.KangbelievedthathepatitisBvirusbelongedtodampheatepidemictoxin,leadingtostagna—tion.Thechronicliverdis
4、easedevelopedasthemixtureofthedeficiencyandtheexcessandinteractionofthedeficiencyandtheobstruction,withthedysfunctionoftheliver,spleenandkidneyinvolved.Asaresult,theobstructionofqipassageledtostagnationofdamp,stasisandheattoxin.Finally,asciteshappenedduetothemix
5、tureoftheclearandtheturbidintheabdomen.Inclinic,thediseasewasdifferentiatedasqideficiency,qistagnationanddampretentionintheliverandspleen;interactionofyindeficiency,stasisandtheturbidintheliverandkidney;anddeficiencyheatandretentionoftheturbidintheliver,spleenan
6、dkidney.Addition-ally,thesignificantefficacyhadbeenalsoachievedintreatmentofthecomplicationssuchasupperdigestivehemorrhage,hepaticencephalopathyandinfection.Prof.KangkeepsontheintegrationofChineseandwesternmedicineandalsorecommendstheapplicationofwesternmedicine
7、sforanti—virus.【Keywords】KangLiang—shi;ChineseMedicine;LiverCirrhosis;Ascites;Treatment;Experiences已故康良石教授是全国首批名老中医,从事肝及冲任等病机演变,在邪正斗争的过程,反复出现病研究和治疗六十余年,享有“南康北关”盛誉。康一些兼证,构成“虚实夹杂”“虚滞相兼”的表现。当老学验俱丰,提出了著名的“疫郁”理论,对急慢性肝脾肾功能失调,人体造化之道、生杀之气及传化肝炎、淤胆型肝炎、重型肝炎、肝硬化腹水等病的辨功能失常,导
8、致气道壅塞或(及)隧道不通,则内生证论治做出系统阐述。其中对乙肝肝硬化腹水的水湿、瘀浊或热毒诸邪内阻不能排泄,清浊相混裹疗效显著,笔者通过学习继承和应用临床实践,总于腹中而成臌胀之疾。其常并发暴吐便血(上消化结康老的经验如下。道出血)、神志昏迷(肝性脑病)及内外合邪(感染)一、病因病机等病症,而且病势较急、病情多变。肝硬化腹水属于
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