HAN Xinpu,ZHU Xiaoyu,LI Jie.Diagnosis and Treatment of Malignant Ascites based on “All Abdominal Distention and Fullness is Ascribed to Heat” Theory[J].Journal of Traditional Chinese Medicine,2022,63(17):1644-1646.
HAN Xinpu,ZHU Xiaoyu,LI Jie.Diagnosis and Treatment of Malignant Ascites based on “All Abdominal Distention and Fullness is Ascribed to Heat” Theory[J].Journal of Traditional Chinese Medicine,2022,63(17):1644-1646.DOI: 10.13288/j.11-2166/r.2022.17.009.
Diagnosis and Treatment of Malignant Ascites based on “All Abdominal Distention and Fullness is Ascribed to Heat” Theory
Ascites is one of the most common complications in patients with advanced malignant tumors. Based on the theory of “all abdominal distension and fullness is ascribed to heat”, and the findings from ancient and modern literature, the author takes the core pathogenesis of “abdominal distension caused by heat” as the entry point, and proposes that pathogenic heat is correlated to malignant ascites, and the word “heat” should be defined by stages, when the pathomechanism of the disease evolves from damp heat in the early stage, stasis heat in the middle stage, to yin deficiency and internal heat in the late stage. According to the different pathomechanism, the strategies for differentiation and treatment of malignant ascites are suggested to be clearing damp heat, dissipating static heat and relieving deficiency heat, respectively, so as to guide clinical application.
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