积聚
Alias肝脾肿大/腹部肿块
Traditional Chinese Medicine Definition
The condition known as "Accumulation," also referred to as hepatosplenomegaly or abdominal mass, falls under the category of diseases related to Qi, blood, and body fluid. According to the classic text "Internal Medicine of Traditional Chinese Medicine," Accumulation is caused by the obstruction of Qi flow, blood stasis, and phlegm aggregation, primarily manifested as abdominal masses and piercing,窜窜, and distending pain. The disease is often located in the liver and spleen, with a mixed pattern of both deficiency and excess, and the treatment focuses on soothing the liver, alleviating depression, and promoting blood circulation to resolve stasis.
In clinical practice of Traditional Chinese Medicine, Accumulation is a common disease condition, with the core pathogenesis being the stagnation of Qi and the conglomeration of blood stasis and phlegm. Common precipitating factors include emotional disturbances, irregular diet, and overexertion. During the process of differentiation, attention should be paid to distinguishing between cold and heat, as well as deficiency and excess. Cold Accumulation is characterized by acute abdominal pain with contraction, which alleviates with warmth; hot Accumulation is characterized by burning abdominal pain that is resistant to pressure; and deficiency Accumulation is characterized by soft abdominal masses and weakness due to long-term illness. The syndrome of blood stasis internally congealed can be seen with hard, painful abdominal masses that are not easily moved, and dark, sallow complexion. The direction of regulation suggests that attention should be given to soothing the liver, alleviating depression, promoting Qi flow, and resolving masses. For those with internally congealed blood stasis, it is advisable to remove blood stasis, soften hardness, and invigorate the spleen and Qi. During the overall regulation, it is also necessary to adjust the patient's lifestyle to alleviate symptoms and improve the prognosis.
Common Syndrome Types and Key Points of Differentiation
肝气郁结证
Main Manifestations：腹中气聚，攻窜胀痛，时聚时散
Management Approach：疏肝解郁，行气散结
瘀血内结证
Main Manifestations：腹部积块明显，硬痛不移，面色晦暗
Management Approach：祛瘀软坚，健脾益气
The above syndrome information is based on traditional Chinese medicine textbooks and clinical standards. Specific differentiation should be completed by a practicing traditional Chinese medicine physician in person.
Physician's Clinical Insights
For patients with Accumulation, the size, texture, and mobility of the mass are important indicators for determining the intermingling of phlegm and blood stasis.
— 王正香 中医执业医师
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This page is for the popular science of traditional Chinese medicine knowledge and does not constitute medical advice. Specific diagnosis should be completed by a licensed traditional Chinese medicine practitioner in person.
参考文献：《中医内科学》（十三五规划教材）、《中医病证诊断疗效标准》(ZY/T001.1-94)、《中医病证分类与代码》(GB/T 15657-2021)