中华中医药杂志(原中国医药学报)2023年2月第38卷第2期CJTCMP,February2023,Vol.38,No.2•675•·临证经验·通信作者：李仝，北京市朝阳区安定门外小关街51号北京中医药大学第三附属医院肿瘤血液科，邮编：100029，电话：010-52075440E-mail：litong_cool@163.com桂枝茯苓丸加减辨治妇科肿瘤术后盆腔包裹性积液经验探析薛莹1，康宁2，孙颖2，高辰2，李仝2（1北京中医药大学，北京100029；2北京中医药大学第三附属医院，北京100029）摘要：盆腔包裹性积液作为妇科肿瘤术后常见并发症之一，严重影响患者的愈后及生活质量。李仝教授认为，该病病机以本虚标实为主，正气虚衰，脏腑功能失调是其发病基础，血水互结，互病互累是其病理关键；在治疗中，强调血水同治，行水祛瘀，扶正固本，脏腑同调，在辨证基础上采用桂枝茯苓丸加减治疗妇科恶性肿瘤术后包裹性积液，取得了显著疗效。关键词：妇科肿瘤；盆腔包裹性积液；桂枝茯苓丸；李仝；临床经验；术后ExperienceofGuizhiFulingPillsinthetreatmentofpostoperativepelvicencapsulatedeffusioningynecologicaltumorsXUEYing1,KANGNing2,SUNYing2,GAOChen2,LITong2(1BeijingUniversityofChineseMedicine,Beijing100029,China;2BeijingUniversityofChineseMedicineThirdAffiliatedHospital,Beijing100029,China)Abstract:Asoneofthecommoncomplicationsaftergynecologicaltumorsurgery,pelvicencapsulatedeffusionseriouslyaffectspatients’healingandqualityoflife.AccordingtoprofessorLITong,thepathogenesisofthediseaseisbasedonthedeficiencyoftheessenceandthesymptomsofthedisease,thedeficiencyofthevitalenergyandthedysfunctionoftheinternalorgansarethebasisofitspathogenesis,andthekeytoitspathologyisthemutualinvolvementofbloodandwater.Inthetreatment,emphasisisplacedontreatingbloodandwatertogether,movingwatertodispelstasis,supportingtheroot,andregulatingtheinternalorganstogether.Basedontheidentificationoftheevidence,GuizhiFulingPillswithadditionandsubtractionwasusedtotreatpost-operativeencapsulatedeffusionofgynecologicalmalignanttumor,andremarkableresultswereachieved.Keywords:Gynecologicaltumor;Pelvicencapsulatedeffusion;GuizhiFulingPills;LITong;Clinicalexperience;Postoperation近年来，妇科恶性肿瘤的发病率和病死率呈明显上升趋势，手术仍是...
