肝硬化腹水的中医治疗现状

摘要

Objective The relevant literature on the treatment of liver cirrhosis ascites in recent ten years is summa-rized. The progress in the treatment of cirrhotic ascites in recent years is described. Methods Through the retrieval of CNKI and Wanfang database, 125 literatures were collected and analyzed. To eliminate duplicate documents and described the etiology, pathogenesis and treatment of traditional Chinese medicine. Results The pathogenesis of liver cirrhosis ascites is qi deficiency. The influence of qi stagnation, water stop and blood stasis.The currently Chinese medicine treatment includes three aspects: therapy based on sydrome differentiation, basic prescription with modified, and Chinese medical external treatment. Conclusion Chinese medicine in the treatment of liver cirrhosis ascites have advantage and efficacy, but rigorous evidence based medical research and normative experimental studies are still lacking, it still needs to be further studied.%目的 对近十年关于中医药治疗肝硬化腹水的相关文献进行总结,阐述近年来中医药治疗肝硬化腹水的进展.方法 通过检索中国知网以及万方数据库中相关文献125篇,将其进行整理与归纳,并剔除重复文献,从病因病机及中医治疗两方面描述.结果 肝硬化腹水的中医病机为正气亏虚,气滞、水停、血瘀三者错综为患;目前中医治疗以辨证分型施治、基本方加减、外治法为主.结论 中医药在治疗肝硬化腹水方面具有优势且疗效确切,但严谨的循证医学研究和规范的实验研究仍然缺乏,仍需进一步研究.