The yellow emperor of ascites paracentesis therapy

ZhangJi Beijing university of Chinese medicine

China's traditional Chinese medicine reported

        Ascites disease of the yellow emperor called "abscesses", "inflation" and so on, dubbed a "single abdominal distension". About abscesses, huangdi recorded several articles. Such as "the belly meat asked · of" "sick heart full part is not food, feed, called bouffant sunset." The coffins bilge water spirit · the article "have" abdominal distension, body all big, big and skin also, the color pale bulge, stirrups on, this the wait also." Symptoms of abscesses, further description: "feet swollen abdomen is big, tibial, its water has already become the past is past, according to the abdomen, hand in hand, the water of the form, such as wrapped the its wait also." Abdominal swollen that were like water in the not depression, with hand up.

        Ascites mild, but internal and traditional Chinese medicine treatment; If ascites is more serious, drug use is invalid, and appear shortness of breath and breathing difficulties when disease, can use the method of ascites paracentesis. Such as "the spirit hub · four chi 19" and the "yellow emperor too element" (mentioned too element ") (23 miscellaneous thrust, have the basic same records, this with "too element", it further explains the specific method. "Too element," said: "there is geomantic skin bilges, 57, take the skin for Wei blood, do take", "ACTS water, first for ring next three inches to the valley of needle (needles), has the prickles and needle (tube), and in the cylinder, and after the, to do its water, shall be established the beam, slow, 悗, bunch of urgent is bored, JianRi a stab of quiet, water is the best drink, medicine, party of thorn shut, and the party to drink, no (don't) food, feed without party (don't) drink, no (don't) food he food, 135 day."

        ACTS water is only ascites and no legs edema as distinguished from the feng shui, therefore, "ACTS water" can be understood as ascites. Before the words which have "feng shui skin bulge for fifty-nine, stab" records, feng shui, namely for the wind and cause limb swelling, ACTS of water after a disease, the treatment is to take the valley of ring under three inches. Yang on good comments: "ring is in the valley of umbilical, below hilum three inch close yuan caverns also." Find good close yuan point after another, with the ZhenZhen. The needle that beryllium needle, such as "the spirit hub nine needle twelve original ·" : "beryllium needle, such as blade tip, cut the skin to enlarge pus." After skin incision with beryllium needle, then use the tubular hollow needle into to ascites paracentesis. Floor's "medical materia medica said:" tube needle that is obsessed with the hollow needle tube, such as water also." Use hollow needle water again and again, which is known as "the year into the water to save the". And to put clean ascites, bundled the corset, such as the corset bunch tight was quiet, if the corset bunch not tight is the patient annoyed, in the heart sick. Yang on good note yue: "water to the man so, when established to actually of." This is very reasonable and scientific method, accord with the physiological requirements. Because ascites paracentesis, a large ascites is out, intra-abdominal pressure plummeting, originally be compressed the blood vessels of the size of the abdominal cavity pressure down sharply, cause abdominal and gastrointestinal each viscera blood vessels acute expansion. A large amount of blood backflow in celiac, can cause heart, brain acute ischemia, blood pressure drops and appear coma phenomenon, this is very dangerous.

        The requirements of the law in the spurs to "JianRi a thorn." that is the next time, in order to regulate itself, then, actually put a few times for appropriate? Just ask "water do is check", and is about to ascites basically put net so far. In addition, more important is to take the ascites paracentesis and water of the leaching agent, namely "the thorn, ACTS to drink, drinking the closed medicine." ZhangJingYue laroche explained: "all sick with water, urinate more adverse, having been to stab as before the close, still must drink the medicine to pull its this." The drug for drink shut, Chinese traditional medicine need a wet the water permeability, invigorating spleen to solve the low water to drink by agent, western medicine also can use the diuresis agent. With the general agent of rain water, boiling in should be separated with diet, not taking, which is known as: "the drink no (don't) food, feed without party (don't) drink." This ZhangJingYue said "food and medicine should not be confused, mix, seldom take effect." That is not required while eating other food, namely easy injury taste, gives birth to damp and hot accumulate knot of food. General ascites patients, its course to about three to four months, namely "135 day" can be more. This is the yellow emperor of ascites paracentesis treatment process, today the view and also very practical, very science, is of guiding significance for clinical very.

        The author in the 1970 s in a hospital ward XiaoHuaKe competent ward, treated some inflation (cirrhosis) ascites patients, liver cirrhosis except the last hepatic coma besides, the most common complication of has two, one is a large hematemesis, vomiting blood surplus basin; 2 it is big belly ascites, ascites (GuZhang disease) although after a lot of soft firm [herbal treatment outside, still take a shower of the water by the agent, such as ten dates tonga to lead the son, business land, astragalus born medicine. At the same time also take the western medicine, was used Ann body ShuTong, protect potassium diuresis, serious ascites urination with diuresis topped the agent "speed urine" and so on, but still the effect not beautiful, and appear shortness of breath, heart palpitations, can not eat person, adopt the method of ascites paracentesis.

        We put the method of ascites improved, one is in the parts of the ascites paracentesis that before the coming on and umbilical cords sino-foreign 1/3 place, here KongKuo place for abdominal cavity, low position, make ascites easy to retention places; 2 it is change tubular needle for casing hollow double needle, needle into the abdominal cavity will later, pull out the casing of the heart and blank needle needle tube, external indwelling catheter to water. Note wound clean, strict disinfection, fixed needles, to prevent scratch belly organs. More generally for a ascites paracentesis 2000 ~ 3000 ml, ascites paracentesis tight corset when with, with ascites reduce and knock at tight the corset in case its shock, this and the "yellow emperor" account of how similar ascites paracentesis.

        Huangdi neijing also recorded ascites, abdominal distension, stomach full bilge, such names and abscesses similar, its symptoms are similar, also have traditional Chinese medicine, acupuncture treatment, its rich content, can be discussed further.