Because of the plug with malignant peritoneal effusion of the rule of law

Time: 2016-05-11

Source: China's traditional Chinese medicine

Author: Yang Chenguang

\"Spleen and kidney\" four words are common in traditional Chinese medicine, the familiar, the principle of \"plug for use as a treatment for\" is known us all, but in the clinical point of view, in the treatment of malignant peritoneal effusion did not cause the attention of the clinicians, the vast majority of cases are still in the walk that ancient physicians critical \"see assortments of elimination, water conservancy water\", take effect at that time, but failed to further improve patients after all. There are patient to deal with the pain of this demand, but also have a doctor for this understanding of the unknown, it is worth noting.

Malignant tumors caused by abdominal cavity effusion is called malignant peritoneal effusion. Malignant peritoneal effusion is one of the serious complications of late tumor, serious impact on the patient's quality of life. Ascites in traditional Chinese medicine calls tympanitis, single abdominal distension etc., are similar to malignant peritoneal effusion of blood \"drum\", but not in the true sense of malignant ascites diagnostic criteria, treatment is also mixed in modern medicine said liver cirrhosis ascites, schistosomiasis ascites, etc. The author intends to comb from the perspective of clinical medical notes of ancient and modern Chinese medicine, the basis, and combined with the clinical observation and thinking, try to establish malignant ascites preliminary processing of traditional Chinese medicine principle, and put forward the direction of the future study, looks at fellow comment.

【 look from huangdi neijing and pathogenesis of tympanitis 】

In huangdi neijing tympanitis pathogenesis related provisions or roughly divided into two categories, spleen and kidney. Provisions related to spleen and stomach, such as: \"meridians\" yue: \"the foot too Yin tympanitis. Stomach bloated with cold.\" The five zang-organs generated \"yue:\" under the stomach full bilge, diaphragmatic threats, risk appetite, in lunar, Yang Ming.\" \"Big six yuan is the discipline theory of\" yue: \"lunar may go to the full, cholera vomit. Lunar strikes as heavy, swollen. Soil yu hair, people ill heart abdominal distention, swelling of body weight.\" The meridians \"yue:\" stomach trouble is big abdominal swelling.\" \"To really bigger theory\" yue: \"all swollen and filled with wet are belong to spleen.\" Provisions, such as: associated with kidney and hardness in the water hot hole of the emperor yue: \"why shaoyin kidney? Why Lord kidney main water? Gaps\" yue: kidney, to Yin, also to Yin, the water also. Lung, lunar, also less cloudy, winter of arteries and veins, also it this in kidney, its in the lungs at the end of all water. Also the emperor yue: why kidney can water and sick? Gaps \"yue: kidney, stomach close also, close the door, so the water and according to its kind. So water disease is swollen, areca is below, for asthma call may not lie, specimen disease.\" \"Five Long fluid don't\" yue: \"the airway of Yin and Yang, the four seas, the sanjiao (triple energizer) is not diarrhea, fluid, not in medicine, may not be the bladder, and hardness bilges, water overflow is expanding.\"

Analysis with the righteousness, the basic pathological changes of the total genera of tympanitis spleen and kidney damage, gas, water belly of stagnation. Diseased organs first in the upper abdomen spleen and stomach, and kidney. Because of the spleen and the main operation, and the spleen disease, transport lost health, water wet cohesion; Disease delay time, involvement in kidney, renal open close, water wet, the swelling in the more. Pathological factors and qi stagnation, either wet water, liquid stop not to storage, abdomen swell to drum up increasingly. Gas, water between each have emphasize particularly on, and often a mutual cause, mixed with the disease.

\"Plug for use\" is shouji, spleen and kidney in each application 】

\"Plug for use\", a \"plug\" refers to the benefit principle, before a \"plug\" means a virtual block after impassability. So-called \"plug for use\", is to use tonic treatment conditions of the virtual block impassability, the formulas from the Canon of the yellow emperor, to really wants big theory. Has always been a subject as tympanitis Wang Daozhi method of treatment, and from the views of huangdi neijing, spleen and kidney as a two way.

The wet, invigorating spleen yiqi expansion

By creek, \"Dan brook method\", \"drum, tympanitis and list should be big wet gas line, this is the very of pixu (spleen deficient), must be far music, thick flavour, large dose of ginseng, atractylodes, with dried tangerine or orange peel, poria cocos, rhizoma atractylodis. With blood deficiency, with siwu soup helps blood medicine.\" By creek, enumerates the oneself with the spleen and replenishing qi treatment experience of tympanitis of pointed out: \"or yue: gas does method, He Zi fill gas for Ann, has said to pass fruit? To yue: gas does method, secular words also. With gas for the disease, the new stuffy congestion seems difficult to repair, may increase even more. Don't think vital qi deficiency is not operating, time lag is not out, so for the disease. The yue: gas line is more strong, the weak person with a disease. To admit or gas but afraid not method, gas by row?\"

Yu JiaYan \"moral grass\" : \"if merely abdomen swollen, the difficult cure... single abdominal swelling, the land of zhongzhou, smothering SiYun it for long shaft, but clearly, not polluted, not each other together, strong and solid for temper caused by decline... and the viewpoints of the original load of five died, lips are black hurt liver, be sad, hilum of spleen injury, flat back injury lung, a foot flat with renal injury, the five person cannot cure yi... but manage the spleen method, see not conquer the five zang-organs, but can it cure is more.\" YuShi in the book of medical law · expansion theory of disease \"in the column for tympanitis eight first, take an examination of in spleen of school, the spleen and the stomach for this shipment.

Kidney fill, Yin and Yang are different

Wang bing to \"plug for use\" comments, said: \"if the deficiency of lack, coke gas indicates, Qu threats, full of food has turn add, unskilled workman, incompetent, or the judge to all over the fear of them, up is better than in full, perforated hardness in turn virtual, tonify deficiency is filled with zi, senate, healing and meaning are same, not save its deficiency, and tapping their full, medicine, it decreases, the medicine is still, so filled with the virtual, the disease is often in, but I don't know shu qi, completed to fill in the next, little clothing. Indicates that many tong xuan. Reason and treatment, in full since in addition, the virtual reality, this is\" plug for use \"also.\" This section, the key is to fill one hardness in kidney, activating force of medium transport, reasons things out the deep. Later generations know as the \"class\" of zhang jingyue \"von trick recorded the secret code to Canon Li Zhongzi to Canon and other annotation\" plug for use \"is from the original.

Zhao Xian in medical injection wrote: \"as for the kidney to treat swelling, it said. GaiYu water conservancy, do it no matter also. If the thin chisel, lost yi. Present the kidney water of petunia spurge, little wisdom of unskilled workman, are yu hated. Also useful between five three five skins, thought Chiang kai-shek. Also turn, turn, kidney failure and can't push you, it must use kidney. By yue: kidney begin to understand the two Yin, kidney gasification is 2 Yin, the Yin closed the stomach bilges, therefore, yue of the kidney, stomach. Close the door, so water and according to their kinds. And yue: the kidneys of medicine... is therefore kidney empty, the fire of hardness in virtual... but also zhang zhongjing kidney pills, golden system without delay and without leakage, if god of cure swollen. Countries at the shelly Mr Zhai, repeatedly use effect, the basis of detailed. According to the case, try to kiss is very effective. Therefore, dare to detail how, who are at the, luckily not on Christmas.\"

Zhang jingyue put it: \"tiffany's disease swelling, deficiency syndrome, if after middle age, and many internal lesion caused by overexertion, or defecate pond slip, or virtual MaiXi string, or melody gaunt, or due to illness, or because of attack too, and certificate such as renvoi bilge full, they were deficient is easy to see also. Such as these, weakened the complementing, quick save fundamental, is light person will be, the person that weigh will be dangerous.\"

Cases with kidney bolus tonifying Yang to express is given priority to, golden Zhao Xian can further play is given priority to with Yin treatment. \"Medical injection\" cloud: \"have a first-class is pure Yin deficiency, the big belly umbilical swollen lumbago, two foot is swollen, first num short astringent, asthma with sputum may not lie, and even head all swollen, or face red thirst, but the man know taste food, defecate dry, water samples of d see form swollen asthma disease, miscellaneous, the water of the medicine and yi. Little imagine Yin deficiency, the fire of the sanjiao (triple energizer), and the impact pulse of the fire, with inverse, is water overflowing from the fire, the deposition in the lung and syndromes, what are the breath can't lie, scattered in the Yin collaterals for fu in swollen, along with the deficiency of the five zang-organs, it gathered into the expansion of five zang-organs, are fire flood water and its fall ill also. To suit door winter five big agent of 6 flavour glutinous rehmannia. Close to try some test, record.\"

Spleen and kidney is not ignored, reveal the Yu Zhongjian mystery

As complement, can spleen and kidney, is a major? Why don't? Zhang jingyue put forward: \"if a deficiency in the spleen and lung, appropriate sijunzi decoction, such as Lord of spleen-invigorating soup. If pixu (spleen deficient) and cold, warm stomach appropriate principle of soup, drink and five gentlemen's Fried. If pixu (spleen deficient) and sputum, appropriate 6 gentleman decoction. If kidney and phlegm, appropriate jinshui six gentleman decoction. If the deficiency in the liver and kidney, liuwei dihuang decoction. If kidney empty and cold, appropriate Yin decoction, rehmannia pill or eight, moreover to add and subtract\" golden \"kidney soup of god.\" Obviously, JingYue tonifying spleen and kidney.

Sun Yikui in chishui XuanZhu said: \"three books, through the test of visible urine, the hardness in yuan qi deficiency cold... without removing, and urine can only benefit... so cure bilges full, first should be removing yuan, make the fire more energetic and evaporation temperature, gas, in the stomach, warm valley facilitation, full can be wide enough. Fresh air, rise, both are polluted air, polluted air down is to urinate, also small convenience, bilge is needless. Language for the cloud refers to enrage, weather for rain, but the popular gas, to the cloud for rain also.\" Cubic for strong broth by ginseng, atractylodes, poria cocos, malaytea scurfpea fruit, cassia, aconite root, dried ginger, amomum fruit, dried tangerine or orange peel, etc. Detailed survey its party, although removing yuan, Yu Zhongjiao not ignored, but in aconite tonga taste.

Approachable Wang Yusan XianShengLun tympanitis treatment when the affirmation of the importance of the method of invigorating spleen, he said: \"when water disease is given priority to with the spleen, the spleen and destiny, the water on its own, appropriate technique for jun, viewing the carry card to add and subtract. If drug ACTS in the water, not to save more. According to the theory of water conservancy of drum, are given priority to with the spleen, fruit is briefly. Cover the spleen to middle earth, earth is bank consolidation, evil can a water flood harm zai? Besides, spleen soil health, wet from the water transport, and swelling in May not put to self heal.\" Also points out the method of invigorating spleen limitations, \"though, by reference to soil water, but for the spleen does not transport the water wet. As for the oil and water two kui yuan, cause the gasification of bladder and not into, and it is by no means and spleen by can cure also.\" On the emphasis of the tonifying spleen and kidney, Wang Yusan emphasizes the kidney, he thinks, not by tonifying spleen kidney empty, miss fill is useless and the loss, because the soil, water, tonifying spleen medicine, unfavorable to the kidney empty body; But can the spleen, kidney medicine, for renal clearance of spleen and stomach, and life can fire the soil of spleen and stomach. He thought that treatment of tympanitis, not warm the water is dirty work. Therefore, he advocated to develop water two deficient syndrome of must be used with laurel eight taste pills to make up for the kidney and fire, \"is not only can the spleen, and the effective medicine for water. Cover the kidney urinatinganddefecating, fire and water, in the kidney is mainland self-interest. And kidney and bladder as a table, a kidney, the gasification of the urinary bladder is enough.\"

For spleen don't transport and the identification of yuan under fire and water both kui, Mr Wang Yusan has unique insights: \"but the spleen is not transport and water deficient, why don't the? Yue: must examine its MaiLi known. All right,\" guan pulse is two feet, especially virtual, is the certificate of pixu (spleen deficient). If the left three and two 'pulse is right \"shut, especially virtual, is the certificate of fire and water both kui also.\"

【 proof \"see assortments of elimination, water conservancy water treatment error 】

Advanced cancer ascites formation, has more harm to Yin and Yang, the two qi, down at this time the water swelling, comsumption will do really Yang, vulnerable to the dragon's really cloudy. \"Dan creek art, tympanitis\" : \"d does not examine the actual situation, are eager to work, patients suffer from bilge, xi, medicine, in order to pass quickly, so wide half a day, it is swollen, the more a disease evil very yi, qi injury.\" Yu JiaYan \"moral grass\" cloud: \"every heave problem, and with air gas, lung xie bladder the medicine, the matter of the murder. Healing medicine, its appropriate, expensive and disease have spirit and do not come loose, and when the scatter the knot, down there are cleansed, and the knot of gas dispersion, its still not gradually due to product also. This expansion disease are gas away and don't accept, more scattered the air, or the straight crack the abdomen for? Can't reach of accept, it is gradually accumulated, figure into can also slowly. If satisfaction once, such as toothed burclover bai, clearly see murder, if all people don't regret, came to rape, I don't know how the lungs bowel, thousand of can't out of the hell.\" The rhetoric of severe earnestly, and is hard to see. Mr Contemporary famous doctor GuanYouBo also thinks: \"similar vessel and vehicle pill by water, such as medicine, although have the function of exorcism also injury are the disadvantages of this generation, the formulas about equal to the present to diuretics, such methods are used in isolation, but a temporary redress, suspend its expansion and ACTS hurt it is, ascites disappear soon again, after the attack. The body of patients, this method can be a try, attack after water, in turn, centralizer regulate, and big deficiency of vital qi, is like a sepulchre, endangered, save fear, dare cut which can again?\" Clinically, the wind-resistant design of water and electrolyte disorders, kidney failure, and even induced coma is not uncommon.

Tympanitis, hint the condition has been late, after the course has been in delay time, the healer must consider treatment under the complete course of problem, have the heart of the long term. Referred to in the \"theory of over due by brook he treatment of two cases of tympanitis patient, a use for half a year time, a use for more than a year of time, although looks dilatory, but said:\" of the disease, or three to five years, or more than ten years, roots, potential Benedict, craving available, since beg for ear! Know Wang Daozhe can cure the disease.\"

\"Think and connect\"

\"Spleen and kidney\" four words are common in traditional Chinese medicine, the familiar, the principle of \"plug for use as a treatment for\" is known us all, but in the clinical point of view, in the treatment of malignant peritoneal effusion did not cause the attention of the clinicians, the vast majority of cases are still in the walk that ancient physicians critical \"see assortments of elimination, water conservancy water\", take effect at that time, but failed to further improve patients after all. There are patient to deal with the pain of this demand, but also have a doctor for this understanding of the unknown, it is worth noting.

The author identifies the literature is given priority to with case and medical theory, up to now still lack of large sample of cases accumulated by analysis of syndromes and treatment of malignant peritoneal effusion, even if the card type analysis, the evidence is still quite limited. Spleen and surgery, kidney of cultivated land is the concentration-response relationship with malignant ascites? Different kinds of prognosis of malignant peritoneal effusion how qualitative differences in the system of traditional Chinese medicine? Can quantitatively by deficient degree? These are the problems that should be explored in the future.