Exploring the Pathogenesis and Treatment of Liver Cancer Ascites Based on the Theory of "Body Fluids Become Sluggish and Stagnate"

HUANG Jie; HUANG Ting; ZHOU Heran

doi:10.13288/j.11-2166/r.2025.21.005

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Exploring the Pathogenesis and Treatment of Liver Cancer Ascites Based on the Theory of "Body Fluids Become Sluggish and Stagnate"

更新时间：2025-10-31

- Exploring the Pathogenesis and Treatment of Liver Cancer Ascites Based on the Theory of "Body Fluids Become Sluggish and Stagnate"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 21, Pages: 2204-2208(2025)
- 作者机构：
  
  1.浙江中医药大学杭州临床医学院，浙江省杭州市西湖区体育场路453号，310007
  2.浙江中医药大学附属杭州市中医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.21.005
  CLC：
- Received：15 June 2025，
  
  Revised：2025-07-06，
  
  Published：02 November 2025
- 稿件说明：
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黄杰,黄挺,周河燃.基于“津液涩渗，着而不去”探讨肝癌腹水的病机与治疗[J].中医杂志,2025,66(21):2204-2208.

HUANG Jie,HUANG Ting,ZHOU Heran.Exploring the Pathogenesis and Treatment of Liver Cancer Ascites Based on the Theory of "Body Fluids Become Sluggish and Stagnate"[J].Journal of Traditional Chinese Medicine,2025,66(21):2204-2208.
黄杰,黄挺,周河燃.基于“津液涩渗，着而不去”探讨肝癌腹水的病机与治疗[J].中医杂志,2025,66(21):2204-2208. DOI： 10.13288/j.11-2166/r.2025.21.005.

HUANG Jie,HUANG Ting,ZHOU Heran.Exploring the Pathogenesis and Treatment of Liver Cancer Ascites Based on the Theory of "Body Fluids Become Sluggish and Stagnate"[J].Journal of Traditional Chinese Medicine,2025,66(21):2204-2208. DOI： 10.13288/j.11-2166/r.2025.21.005.

摘要

基于《灵枢·百病始生》中“津液涩渗，着而不去”的论述，认为津液化生不足，敷布失司，水邪壅盛，为肝癌腹水的核心病机。痰液凝聚与水湿泛溢相互交织，形成水邪胶着缠绵的状态，并从这一角度探讨肝癌的发生与转移，以及肝癌腹水的形成机制。基于肝癌腹水的病机特点，确立养阴与利水兼顾、化痰和渗湿并进的治法总纲，同时补充理气以助化痰，活血以配渗湿的治法特点，以期为丰富临床辨治该病提供理论基础。

Abstract

Based on the theory of "body fluids become sluggish and stagnate" from

The Spiritual Pivot·The Origins of All Diseases

（《灵枢·百病始生》）， it is proposed that the core pathogenesis of liver cancer ascites lies in the insufficient generation of body fluids， derangement of conveyance， and overwhelming accumulation of pathogenic water phlegm congelation and water-damp diffusion intertwine， giving rise to a pathological state characterized by water retention and adhesion. From this perspective， the occurrence and metastasis of liver cancer， as well as the mechanisms underlying the formation of ascites can be further explored. In accordance with the pathological features of liver cancer ascites， the therapeutic principle is formulated as "nourishing

yin

while promoting diuresis， and resolving phlegm while draining dampness"， which is complemented by the auxiliary strategies of regulating

to aid phlegm dispersion and activating blood to enhance dampness elimination. This is expected to provide a robust theoretical foundation for enriching clinical differentiation and treatment of liver cancer ascites.

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references

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