【摘要】 肝硬化腹水属于中医学“臌胀”范畴，现代医学将其分为普通型及顽固型，后者预后极差。本病中医病机为虚实夹杂，虚证多为脾肾阳虚或肝肾阴虚。梳理顽固性肝硬化腹水的中医与西医认识发展情况，介绍现代医学的近期诊疗进展，重点讨论本病的中医药辨治方法及中西医结合诊疗策略，以期提高对本病的认识与管理水平。更多还原

【Abstract】 Cirrhotic ascites belongs to the category of “tympanites” in traditional Chinese medicine(TCM). It is divided into uncomplicated type and refractory type in modern medicine, and the latter has a very poor prognosis. The TCM pathogenesis of cirrhotic ascites is intermingled deficiency and excess, and its deficiency syndrome mainly relates to spleen-kidney yang deficiency or liver-kidney yin deficiency. In this article, we reviewed the improvements in TCM and Western medicine understanding of intractable cirrhotic ascites, introduced the recent progress of diagnosis and treatment in modern medicine, and focused on the TCM syndrome differentiation and treatment and the diagnostic and treatment strategy of integrated medicine in order to improve the understanding and management of cirrhotic ascites.更多还原