范继桃 章亭

    【摘 要】 肝硬化腹水为肝硬化失代偿期最突出的体征之一，康良石教授认为肝硬化腹水多系于慢性肝炎的基础上，肝脾肾三脏功能严重受损后，体内造化之道、生杀之气及传化功能失常，并营气不利、津液渗涩，凝结于肝，蕴裹不散而成腹水。热浊停聚之肝硬化腹水乃气滞化热，热搏成瘀，运化失职，湿浊稽留，热浊停聚，隧道壅塞不通，热毒、湿浊蕴积不能排泄，裹于腹中而成，其治法以清热化瘀、淡渗利水为先，方自拟加减疸胀汤，临床上疗效明显。

    【关键词】 康良石;疸胀汤;肝硬化;腹水;热浊停聚

    【中图分类号】R249.2/.7? 【文献标志码】 A? 【文章编号】1007-8517(2022)06-0100-03

    Professor KANG Liang Shi s Clinical Experience in Treating liver Cirrhosis Ascites Because

    of “Heat turbidity”With Danzhang Decoction

    FAN Jitao1 ZHANG Ting2

    1.Fujian University of Traditional Chinese Medicine， Fuzhou 350122，China;

    2. Xiamen Hospital of Traditional Chinese Medicine， Xiamen 361000，China

    Abstract：Ascites due to liver cirrhosis is one of the most common complications of liver cirrhosis. Professor KANG Liangshi believes that ascites due to liver cirrhosis is mostly based on chronic hepatitis. After the functions of the liver， spleen and kindney are severly damaged， ‘production and evolution， ‘life and kill and ‘transmission and transformation， and the qi is not good， the body fluid is infiltrating and astringent， it is condensed in the liver ......