张晔铭 郑红刚 贺用和

    〔摘要〕 原发性肝癌腹水是常见的中晚期肝癌并发症之一。贺用和主任医师主张肝癌与腹水同治，强调肝癌“内风暗旋、肝风内动”的病机，将肝癌腹水分为气滞湿阻、脾虚湿盛、水热蕴结、血瘀水停、阳虚水泛、阴虚水停6种证型：气滞湿阻证，治以温中健脾，利水化湿，采用柴胡疏肝散加减;水热蕴结证，治以清热利湿，攻下逐水，采用茵陈蒿汤或中满分消丸加减;血瘀水停证，治以活血化瘀、行气利水，采用调营饮加减;阳虚水泛证，治以补益肾阳、利水渗湿，采用济生肾气丸加减;阴虚水停证，治以滋阴补肾、柔肝利水，采用六味地黄丸加减。

    〔关键词〕 原发性肝癌;腹水; 内风暗旋;肝风内动;贺用和

    〔中图分类号〕R563.1;R248? ? ? ?〔文献标志码〕B? ? ? ?〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.05.017

    The Experience of He Yonghe in Treating Ascites of Primary Liver Cancer

    ZHANG Yeming1， ZHENG Honggang2， HE Yonghe2*

    (1. Graduate School of Beijing University of Traditional Chinese Medicine， Beijing 100029， China;

    2. Guang'anmen Hospital China Academy of Chinese Medical Sciences， Beijing 100053， China)

    〔Abstract〕 Ascites of primary liver cancer is one of the common complications of middle and late stage liver cancer. Chief physician He Yonghe advocates the treatment of liver cancer and ascites together， emphasized the pathogenesis of "internal wind dark whirl， internal movement of liver wind" in liver cancer. He divides ascites of liver cancer into six syndromes： Qi stagnation and dampness obstruction ......