文献类型：期刊文献

中文题名：从肺论治肝脓肿胸腹水兼电解质紊乱一则

英文题名：One Case of Treatment of Liver Abscess Complicated with Pleural Ascites and Electrolyte Disorders from the Perspective of Lung

作者：吴玉泓[1];郝民琦[1];李晓玲[1];王佳慧[1];王建强[2];殷银霞[3]

第一作者：吴玉泓

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]会宁县中医院,甘肃会宁730700;[3]北京中医药大学深圳医院(龙岗),广东深圳518116

第一机构：甘肃中医药大学

年份：2021

卷号：28

期号：5

起止页码：120

中文期刊名：中国中医药信息杂志

外文期刊名：Chinese Journal of Information on Traditional Chinese Medicine

收录：CSTPCD;;CSCD:【CSCD_E2021_2022】；

基金：国家自然科学基金(81860810);第四批全国中医基础优秀人才研修项目(J20184832009);甘肃省中医药管理局项目(GZK-2018-5)。

语种：中文

中文关键词：腹水;胸水;电解质紊乱;肝脓肿;中医药治疗

外文关键词：ascites;pleural effusion;electrolyte disorders;liver abscess;TCM treatment

摘要：迄今临床对肝脓肿合并大量胸腹水兼电解质紊乱的治疗颇为棘手。本文介绍中医从肺论治,辨证为痰热阻肺、脾虚水停证,治以清肺化痰、宣肺降气、通调水道、健脾益气利水,方用小陷胸加防己黄芪汤加减,使胸腹水消退,并纠正电解质及低蛋白血症,效果显著。
It has been very difficult to treat liver abscess complicated with pleural ascites and electrolyte disorders.This article introduced the treatment of liver abscess complicated with pleural ascites and electrolyte disorders from the perspective of lung,which is diagnosed as phlegm-heat lung stasis,spleen deficiency and water retention.Therefore,it is necessary to clear the lung and reduce phlegm,lower qi,regulate water channels,strengthen spleen,tonify qi and make water diuretic.Combination of Xiaoxianxiong Decoction and Fangji Huangqi Decoction is prescribed to reduce pleural ascites,correct electrolyte and hypoproteinemia,with obvious efficacy.