Experience in Staged Differentiation and Treatment of Cirrhotic Ascites Based on the Theory of Tonification and Purging
10.13288/j.11-2166/r.2025.05.015
- VernacularTitle:基于通补理论分期辨治肝硬化腹水经验
- Author:
Haihang DONG
1
;
Yujie CAI
2
;
Huiqin ZHANG
1
;
Yan CHEN
1
;
Yuying TU
1
;
Dongling WANG
1
;
Yinqiang ZHANG
1
Author Information
1. Xiyuan Hospital，China Academy of Chinese Medical Sciences，Beijing，100091
2. Shanxi University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
cirrhotic;
ascites;
theory of tonification and purging;
staged differentiation and treatment
- From:
Journal of Traditional Chinese Medicine
2025;66(5):532-536
- CountryChina
- Language:Chinese
-
Abstract:
It is believed that patients with cirrhotic ascites exhibit a pathological mechanism characterized by the decline of healthy qi and the accumulation of pathogenic factors. Clinically， treatment should be based on the theory of tonification and purging， with a staged approach distinguishing between the active phase and the remission phase. The balance between tonification and purging should be adjusted according to the progression of pathogenic and healthy actors. In the acute phase， purging should take precedence over tonification， using purging as a means of tonification to facilitate the flow of water and qi through the triple energizer. The severity of water retention， dampness， blood stasis， and heat should be carefully assessed to ensure thorough elimination of pathogenic factors while avoiding harm to healthy qi. Medication adjustments should be made once the pathogenic factors are significantly weakened. In the remission phase， an integrated approach combining both tonification and purging should be adopted， incorporating purging within tonification to clear residual pathogens and prevent recurrence. Concurrently， proactive treatment of the underlying disease is essential to achieve complete recovery and prevent the recurrence of ascites.
