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目的 观察中医辨证治疗肝硬变腹水疗效.方法 肝硬变腹水95例,随机分为治疗组和对照组,治疗组48例辨证分型治疗,气滞湿阻型应用柴胡疏肝汤合胃苓汤加减,水湿困脾型应用实脾饮加减,湿热蕴结型应用中满分消丸合茵陈蒿汤加减,肝脾血瘀型应用调营饮加减,脾肾阳虚型应用附子理中汤合五苓散、济生肾气丸加减,肝肾阴虚型应用六味地黄丸或一贯煎合膈下逐瘀汤加减,均水煎服,日 1剂;对照组47例应用西医常规治疗.治疗2个月观察疗效.结果 治疗组总有效率 87. 5％,对照组总有效率 51. 1％,2组总有效率比较有极显著差异( P＜0. 001).结论 中医辨证治疗肝硬变腹水,疗效满意.“,”Objective To observe the therapeutic effect of determination of treatment ac- cording to different signs and symptoms on liver cirrhosis with ascites. Methods Ninety-five patients with liver cirrhosis with ascites were randomly divided into two groups. In treatment group (n=48) patients were classified to six types according to different signs and symptoms and treated by different prescriptions. In control group (n=47) patients were treated by routine Western medicine without classifying. The overall effective rate (87. 5% ) was remarkably higher in treatment group than those in control group (51. 1 %, P <0. 001 ). Conclusions Determination of treatment according to different signs and symptoms can produce definitive effect on liver cir- rhosis with ascites.