基于“一气周流” 理论辨治肝硬化腹水经验

【中图分类号】R249.2/.7 【文献标志码】A 【文章编号】1007－8517（2026）06-0093-05

DOI：10.3969/j. issn.1007-8517.2026.06. zgmzmjyyzz202606018

Experience in Diagnosing and Treating Liver Cirrhosis Ascites Based on the“Unified Qi Circulation”Theory

JIN Ge ZHANG Fuli* Heilongjiang University Of Chinese Medicine，Harbin 15OO4O，China

Abstract：Hepaticcirhosisascites isacommoncomplicationinthedecompensated stagecausedbyportal hypertension，often withpoorprognosis.The“UnifiedQiCirculation”theoryoriginatedfromHuang Yuanyu，withitscoretheoreticalconceptcenteringon thespleeandstomachasthecentralaxis—splenascendingandstomachdescending—whileliverwood，heartfre，lungmetal，and kideywatereachperformtheirrespectivefunctionsundertheQitransformationdrivenbythiscentralaxis.Basedonthisteoryand combinedwithclinicalcases，ProfessorZhangFulipositstatabdominaldistensionarisesfromthedclineofcentralQi，ectigot erorgans；failureofliverwoodtoascendleadstointeralstagnationofministerialfireandthegenerationofdamp-heat；failureof lungmetal todescendresultsibladderobstructioandwater-dampnesstagnation.Thisexplorationdelvesintotheetiology，pathogenesis，syndoedietiationandtramnt，forulatingpresciptiosaccdingtoehytostoreefuntiooftsplee -stomachcentralaxis，promotethecirculationofthefourphases，andnormalizetheQitransformationandorderlyascending－descending movement of the five viscera.

KeyWords：UnifiedQi Circulation；Ascites DuetoCirhosis；Therapyof Traditional Chinese Medicine；ExpertisefromaRe nowned Physician；Zhang Fuli

肝硬化腹水属中医学“鼓胀”范畴，历代医家有“单腹胀”“蛊胀”“膨胀”等不同名称，属“风、痨、、膈”四大难症之一，系指肝病日久，肝、脾、肾功能受损，气滞、血瘀、水饮内停聚于腹中所致的腹大胀满，绷紧如鼓，皮色苍黄，脉络显露为特征的病症[1]。（剩余7124字）