贾英杰教授基于“血不利则为水”辨治癌性腹水经验

Professor JIA Yingjie's experience of differentiation and treatment of cancerous ascites based on “inhibited flow of blood is water”

关键词:  血不利  癌性腹水  名医经验  贾英杰

Key words:  inhibited flow of blood  cancerous ascites  experience of famous doctors  JIA Yingjie

摘要:

“血不利则为水”出自《金匮要略·水气病脉证并治第十四篇》，是张仲景首次提出从血瘀论治水气病的指导思想，而癌性腹水常常出现在肿瘤患者病情发展的中晚期，属于中医学“鼓胀”等疾病范畴，其发病机制与“血不利则为水”的思想有着密切的关系。贾英杰教授将癌性腹水的基本病机归纳为阳虚寒凝，瘀水互结，认为阳虚、气滞、血瘀、水湿是疾病病机的关键，临床上常以温阳、行气、活血、利水为治疗的基本法则，取得了良好的疗效。

Abstract:

“Inhibited flow of blood is water" comes from the fourteenth chapter of synopsis of the golden chamber and syndrome of "water"qi disease. It is the first time that ZHANG Zhongjing put forward the guiding ideology of treating water qi disease from blood stasis. Cancer ascites often appears in the middle and late stages of tumor patients' disease development,which belongs to the category of diseases such as "bloating" in traditional Chinese medicine. Its pathogenesis is closely related to the idea that "blood disadvantageous is water",Professor Jie summed up the basic pathogenesis of cancerous ascites as yang deficiency,cold coagulation and water stasis. He thought that yang deficiency,qi stagnation,blood stasis and water dampness were the key factors of the pathogenesis. Clinically,the basic principles of warming yang,promoting qi,promoting blood circulation and benefiting water were often used as the treatment,and good results were achieved.