C TRNG (Ascites)A. i CngBnh thng mng bng ch l mt khong trng gia l Tng v l thnh. Trong trng hp b bnh hoc khi c ri lon iu ha ng v thy tnh hc ca c th, dch th xut hin trong mng bng, gi l C Trng.Dch c th lu thng trong khp mng bng, gi l C trng t do. Cng c trng hp dch khu tr trong mt vng ca mng bng bi cc mng dnh to thnh vch ngn, l C trng ngn cch.Thin Phc Trung Lun ( T Vn 40) vit: C bnh y vng Tm phc, n c bui sng khng n c bui ti, l bnh g ? Tr li: Gi l bnh C trng.Chng Thy Kh Bnh ( Kim Qu Yu Lc) vit: Chng Thch thy mch thy Trm, biu hin ra ngoi l y bng m khng suyn. Chng Can thy thy to bng khng xoay chuyn ngi c, di sn v au bng. Chng T thy thy to bng, tay chn nng n, tn dch khng sinh ra, nhng li thiu kh, tiu tin kh. Chng Thn thy thy to bng, vng rn sng v au lng, khng tiu tin c.Sch Ch Bnh Nguyn Hu Lun - Thy C Hu vit: y l do Thy c kh kt t trong khin cho bng to dn, c ting nc c ch, mun ung nc, da en sm ging nh b ph, gi l chng Thy c.Sch Y Mn Php Lut vit: Phm c cc chng Trng H, tch khi, b khi, tc l c gc r ca bnh Trng, tch ly ngy thng, bng to nh ci chum, gi l chng n phc trng.Sch an Kh Tm Php vit: Trong c ln ln, toi o b ng tc, ... thp v nhit cng pht sinh s thnh trng y.Sch Trng Th Y Thng vit: Ngi nghin ru b bnh trng bng nh ci u, l thp nhit lm hi T. V tuy n vo c nhng T khng vn ha, cho nn thnh chng B trng.C trng l mt trong t chng nan y: Phong (chng kinh phong, ng kinh), Lao (bnh lao), C (c trng), Li (phong ci).Ngi xa, ty th bnh cn gi cc tn Thy c, Trng c, Tri th c (c mch sao) , n phc trng. . . Cc hc gi i sau theo nguyn nhn bnh chia lm 4 loi : Kh c, Huyt c, Thy c, Trng c.Nhng kh huyt, thy c c lin quan mt thit ch khng xut hin ring l m ch c ci no l chnh m thi.Chng c trng trn lm sng gp trong nhiu loi bnh nh X Gan C Trng, Hi Chng Gan Lch To, Thn H Nhim M, Lao Mng Bng, Ung Th Bng. Xem thm bi X Gan.B. Nguyn NhnTheo YHH: trong c trng t do, dch thm nhp vo mng bng c th c hai ngun gc:. T mng bng tit ra, do mng bng b nhim khun, b kch thch: l C trng xut tit (biu hin trong xt nghim sinh ha qua phn ng Rivalta dng tnh v m Protein cao). Gp trong Lao mng bng, Ung th mng bng tin pht hoc hu pht.. T cc t chc chung quanh mng bng thm thu vo bng. l C trng thm thu (Biu hin qua Rivalta m tnh c m Protein thp). Cc trng hp bnh l gy tr tun hon hi quy hoc tr h thng tnh mch ca v cc trng hp gy ph n nhiu do thay i p lc keo trong mu, do NaCl hoc do cng Aldosteron th pht u c th gy c trng thm thu. Thng gp trong X Gan, Ung Th Gan, Vim Tc Tnh Mch Ca, Vim Thn Mn, Thn H Nhim M, Suy Tim Ko Di, Suy Dinh Dng.Theo cc sch ng y, qui np li c my nguyn nhn sau :1- Ri lon tnh ch (tht tnh) : S ri lon tnh ch con ngi sinh chng c trng, th d nh hay tc gin hi can, can kh ut lm tn thng t kh (can khc t), chc nng vn ha ca t ri lon gy nn bnh. mt khc, u t lo lng nhiu lm hi t ... (y l yu t tinh thn nh hng xu n bnh tt).2. n ung thiu iu : n qu no, nhiu cht bo, m, ung nhiu ru bia cng hi t khin cho chc nng vn ha ca T b ri lon sinh bnh.3. Bnh tt lu ngy (nht l bnh gan thn) lm cho c th, tng ph m ch yu l t thn h nhc, vn ha ri lon sinh c trng.4. Lao lc, phng dc qu , tinh, kh huyt suy gim cng gy tn thng can, t, thn.5. Mt s nguyn nhn khc nh trng tch (ch yu l hp huyt trng (schistospmiasis), hn tch (do n nhiu cht sng lnh), hn ni sinh tch t trung tiu lm tn thng t v.Bnh l ch yu l do 3 tng Can, T, Thn b tn thng : can kh ut kt, mch lc khng thng t, kh huyt tch t gy b mn. T v h yu thy cc nh tr, bnh lu ngy thn kh suy khng ch c thy gy ra c trng. mc nht nh, bnh ca tm v ph (tm ch huyt, ph ch kh) cng nh hng n s hnh thnh c trng.C- Biu Hin Ca C TrngTy theo s lng dch nhiu hoc t trong mng bng m c trng thuc loi nhiu, trung bnh hoc t. C trng cng to, cng d chn on.+ Nhn: Bng to, x xung khi ng v b sang hai bn khi nm nga, rn li thng li nhiu hoc t.+ S: bng mm hoc cng nhiu hoc t ty s lng nc trong mng bng.+ G: l du hiu quan trng nht. Bo ngi bnh nm nghing sang bn phi ri bn tri, thy thuc g vng thp ca bng trong mi t th . Bnh thng cc vng d t th no cng vn trong. Khi c c trng, do dch tp trung vo cc vng thp, g s thy cc vng b c v gii hn trn ca vng c l mt ng cong nga ln trn (mt yu t cn ch phn bit vi nang nc). G c vng thp khng nhng c gi tr xc nh c trng m cn xc nh c trng l loi c trng t do.D. Bin Chng Lun TrBin chng lun tr c trng thng chia lm 2 th bnh chnh : Thc Trng l bnh mi mc, c th ngi bnh cn khe, php tr ch yu l khu t bao gm hnh kh, tiu tch, trc thy, ph . H Trng l bnh lu ngy, c th ngi bnh yu, php tr ch yu l b h, t dng can, kin t, ch thn l chnh. Tuy nhin chng c trng a s l bn h tiu thc, cho nn php tr chnh vn l ph chnh cng t, tiu bn kim tr ".THC TRNG1- Kh Tr Thp : Mn sn au c lc, n c cc mm, tc, bng y, n t, hi, tiu t, ru li trng nht, mch Huyn.iu tr: S can, l kh, tr thp.Dng bi Si H S Can Tn gia gim (Cnh Nhc Ton Th) : Si h, Ch xc, Thc dc, Cam tho, Hng ph, Xuyn khung.(Si h, Bch thc, Xuyn khung, Cam tho, Ch xc, Hng ph s can, l kh, kin t). Thm Xa tin t, Trlinh, Trch t li thp).Bng y thm Mc hng, i phc b hnh kh. Trng hp nng, thm i hong, Nhn trn, Chi t thanh ha thp nhit. Hn thp bng y, tiu lng, thm 'Hng Sa Lc Qun Hon mi ln 6 - 8g, ngy 2 ln vi nc gng.2. Nhit Ut Huyt : Bng y cng, au, sc mt vng xm hoc da mt vng, u c lng ngc bng c vt mu vch, mi tm, bt rt, ming kh, tiu t, nc tiu vng, to bn, cht li , ru vng dy, mch Huyn Sc.iu tr: Thanh nhit, li thp, hot huyt, ho .Dng bi Nhn Trn Cao Thang (Thng Hn Lun) : Nhn trn, Sn chi, i hong. hp vi Ho Thang gia gim ( Nghim Phng): ng qui, Xch thc, o nhn, Hng hoa, an sm, Sn gip, Bch trut..(Nhn trn, Sn chi, i hong thanh nhit, li thp, tiu c; ng quy, Xch thc, n b, n sm,Thanh b, Hng ph hnh kh, hot huyt, ho . C th thm Gng, To ho trung). Bng nc nhiu c th dng 'B Cp Hon trc thy (Kim Qu Yu Lc): i hong, Ba u, Can khng. Lng bng nhau. Ba u p ht du th, tn bt mn, hon vi mt ong. mi ln ung 1 2g.H TRNG1- T Thn Dng H : Bng y trng, v chiu ti nng hn, mt mi, s lnh, chn tay lnh hoc 2 chn ph lm, tiu t, sc mt vng nht hoc ti nht, li tm nht, mch Trm T Huyn.iu tr : n b t thn, hnh kh li thy.Dng bi Chn V Thang (Thng Hn Lun) : Thc Ph t, Sinh khng, Bch trut, Bch thc.Phi hp vi Ng B m gia gim (Trung Tng Kinh) Tang bch b, Sinh khng b, i phc b, Bch linhb, Trn b, lng bng nhau, ch thnh thuc tn. Mi ln ung 8 - 12g.( Thc Ph t n b t thn, Bch trut, Bch linh kin t li thy, i phc b, Trn b, Tang bch b hnh khli thy, Sinh khng n tn thy kh, tng tc dng cc thuc li thy; Bch thc dng can, ch thng, iu ha tnh nng ca Ph t). C th cho ung thm Thn Kh Hon (T Sinh Phng) : Thc a. Sn dc, Sn th, an b. Phc linh, Trch t, Ph t, Qu nhc, Ngu tt, Xa tin t m, tr dng, ha kh, li thy.2. Can Thn m H : Bng y trng, ni gn xanh, ngi gy, da kh nng, sc da sm en, mi tm, ming kh, bt rt, rng v nu rng chy mu hoc chy mu cam, tiu t, vng m, thn li thon, thm, kh, mch Huyn T Sc.iu tr : T dng can thn, lng huyt, ha .Dng bi Nht Qun Tin ( Llu Chu Y Thoi) : Sa sm. Mch mn, ng quy, Sinh a, Cu k t, Xuyn luyn t.Hp vi Cch H Trc Thang gia gim (Y Lm Ci Thc) : Ng linh chi, ng qui, Xuyn khung, o nhn, Xch thc, n b, dc, Din h sch, Cam tho, Hng ph, Hng hoa, Ch xc.( Sinh a, Bc Sa sm, Mch mn, K t t dng can thn; ng qui dng huyt ha can; Xch thc, n b thm Huyn sm, a ct b lng huyt; Mao cn lng huyt, ch huyt; dc, Hng ph, Xuyn khung, o nhn, Hng hoa hnh kh, hot huyt, ch thng). Trng hp bnh nhn hn m, st cao cn dng vin An Cung Ngu Hong Hon (n Bnh iu Bn) : Ngu hong, Ut kim, T gic, Hong lin, Chu sa, Bng phin, Trn chu (Ngc trai), Sn chi, Hng hong, Hong cm, X hng cp cu, lng huyt, gii c, thanh nhit, khai khiu.Trng hp c trng nng gy nn kh th cn cng trc c trng, c th dng mt trong nhng bi sau: B Cp Hon (Ba u b v, p ht du, i hong, Can khng, lng bng nhau, sy kh, tn bt mn, luyn mt ong, lm vin), mi ln ung 1-2g vi nc m. Ng Cng Tn ( Khin ngu t 120g, Tiu hi hng 30g, tn bt, lm vin. Mi ln ung l,5-3g, nut ngy 1-2 ln. Gia V Thp ToThang: i kch (ch dm), Nguyn hoa, Cam toi, H phch, Trm hng, Hc Bch su, lng bng nhau, tn bt mn, trn u) mi ln ung l,5-3g vi nc sc To tu. Chu Xa Hon (Cam toi, Nguyn hoa, i kch, i hong, Hc su, Mc hng, Trn b, Thanh b, Khinh phn, Binh lang). Mi ln ung 07,5 1g.Ni chung c trng l mt chng bnh nan y trong nhiu loi bnh nan y cho nn trong iu tr cn ht scthn trng. Cn kt hp vi phng php iu tr Ty y, th d nh c th va cho thuc trc thy va phi truyn dch cho khi mt tn dch hoc i vi cc tnh hung bnh nguy kch cn kt hp Ty y cp cu kp thi.Nhng bi thuc trc thy c th dng tr chng c trng (tr tiu):( l) Bt Hc, Bch su. Mi ln 1,5 - 3g, ngy ung l - 2 ln.(2) Ng cng tn bt, Hc bch su 120g, Tiu hi hng 3 5g. Tn bt mn, mi ln ung nut 1,5 - 3g, ngy 1 - 2 ln.(3 ) Bt Cam toi, mi ln ung nut 0,5 - 1g. Thuc x mnh v vy cn lu lc dng.C th dng thang L Ng Xch Tiu u Thang: C chp 1 con 500g, nh vy sch, b lng rut. Xch tiu u 60g, khng cho mui, nu chn nh lc qua vi ly nc ung, ngy ung 1 thang, ung lin trong 2-3 tun c kt qa tt.BNH N C TRNG (Trch trong Trung Y Lm Sng Chn Liu Bch Khoa Ton Th)Chu X, n, 35 tui.Bnh s : Thng 3-1965, sau khi sinh n, km n, yu sc. Trc y 2 tun, thy i tiu t, trng bng, chn ph. Nm 1958 sau ln sinh th t, cng pht bnh nh vy. Xt nghim : Vng bng 103 cm, th trng 138 cn (cn Trung quc). Trng trng mt mu vng, da vng cha r rt, cha xut hin du mng nhn (du sao). Tim phi bnh thng, Gan Lch khng to, g c m c v chi di ph, n lm ( + ) .Chn on : C trng (s Gan phc thy).- Y n : Bnh nhn sau sinh n kh huyt u suy, TV yu, thy thp ng n ni bng to nh ci trng, chn ph, n khng ngon, thp ut ha nhit, nung nu khng gii c cho nn mt v mt vng, tiu t v . Dng cc phng thuc ch kh, thanh nhit, li thp, bnh khng gim.- l thy t bnh rng, chnh kh khng thng ni t kh gy nn. Gi nn coi trng li thy, h tr thuc ch kh. Cho dng Mc phng k 12g, Xuyn tiu mc 12g, iu nh lch 12g, Sinh xuyn qun 8g, Tang bch b 16g, i phc b 12 g, Xch linh 12g, Tr linh 12g, Xa tin t 40g, Hong k 20g, Trn b 8g, Hng hoa 6g. Sau khi ung thuc 1 tun, lng tiu tin cha tng r rt, nhng trng bng hi gim, n cng kh hn, cho thy vn ha ca V c xu th khi phc dn, nhng thy t cha lui, cn cho thuc li thy nng hn. V vy tng nh lch ln thnh 40g; Ngy hm tng lng thuc, tiu tin nhiu hn, lng nc ung vo vi lng tiu tin cn bng, nhng ngy sau c phn cn nhiu hn, trng bng nhiu, chu vi vng bng cng nh i, n c tin b r rt. Ung n thuc ny tip tc 1 thng. Kim tra vng bng cn 87cm, th trng cn 122 cn, trc m di ng vng bng khng r na. Kim tra chc nng Gan, cha n nh hon ton. Bnh nhn vo vin ngy 1 thng 6 nm 1965, ra vin ngy 24 thng 7, cng 53 ngy. Tnh trng ra vin ni chung kh tt, sau bnh nhn tip tc n khm 2 ln na. Sau 5 thng, vit th k sc khe rt tt.Nhn xt : Bnh nhn phc thy s Gan, biu hin chng hu T V h nhc nhng li c tnh hung nghing v thy thp nng, chnh kh khng thng ni t kh. V vy trong iu kin mi dng thang thuc liu cao va ch kh va kh t. Bnh n ny trc dng thang thuc ch kh li niu, kt qu khng cao, ch sau khi tng liu lng nh lch, lng tiu tin mi nhiu r rt. Qua th thy i vi iu tr phc thy s Gan, trng dng Hong k ch kh, kin T, nh lch t t Ph trc thy, r rng c tc dng nht nh.BNH N C TRNG (Trch trong Trung Y Lm Sng Chn Liu Bch Khoa Ton Th)Bnh nhn : Nghim X, nam, 40 tui.Khm ln 1 : Tng b C trng nm 1958, iu tr khi. Nm nay, hi thng 3 i kim tra phn c trng giun mc dng tnh. Trc 2 tun bt u thy tiu tin t, km n, mi mt, sc mt vng bng, mt vng, tnh tnh nng ny, Gan to di b sn 2 khot, mch Trm Huyn, cht li xanh nht, ru li mng. Bnh thuc loi kh tr huyt , nc c ng.iu tr hng s Can l kh, ha hnh thy. Dng Si h 6g, Xch thc 12g, Ch xc (sao) 8g, Ut kim 12g, Mc hng 6g, Thanh b 12g, Trn b 12g, an sm 20g, Xch linh 12g, Tr linh 12g, Xa tin t 40, Xuyn tiu mc 12g, nh lch t 12g.- Khm ln 2 : sau khi ung 4 thang, mt vng hi bt, tiu tin nhiu, bng trng gim dn, n kh hn, tinh thn tnh to, nhng hai chn cn cm gic yu sc, tnh tnh nng ny, tnh trng bnh hi c khi sc, tip tc theo phng php c, n thuc trn tng nh lch t ln 20 gam.- Khm ln 3 : Bng trng tip tc gim, tiu tin thng li vng mt nht hn, tinh thn v n ung kh, cht li , kh ming, mch Tiu Huyn, t kh lui, chnh kh h, vn dng nguyn phng gia gim, n thuc c b nh lch t, gia Xuyn Thch hc 16 gam.- Khm ln 4 : Bng trng nho, to bng gim r rt n tt, ht vng mt, lao ng bnh thng, nhng hai chn cn cm gic yu, mch T, cht li nht, iu tr tip bng thuc hon. Hong k phin, mi phin trng lng 1 gam, mi ln dng 5 phin, ngy ung 2 ln. Sau khi ung lin tc 10 ngy, bnh nhn lm nng nghip bnh thng, tinh thn sng khoi, theo li k 1 thng tr li, vng bng nh nhng, tiu tin bnh thng, n ung rt tt.Nhn xt : Bnh nhn khm ln u ngy 16 thng 10 nm 1965 vng bng 90cm, sau khi iu tr, phc thy rt i nhanh. Ung c 11 thang, vng bng ch cn 78cm; trng bng tiu tr c bn. Ngy 20 thng 12 cho bnh nhn ung thuc cha huyt hp trng.Bnh nhn b huyt hp trng giai on cui, kh tr huyt , thy trc ng dn n phc thy. Ngoi cc triu chng bng to tiu tin t, mu cht l tnh t nng ny, mch Trm Huyn, cht li xanh nht, ch yu l chng hu kh tr huyt , chonn lp php s phng, u tin coi trng s Can l kh, h tr bng ha li thy m thu c kt qu. Nu qu l ch li thy n thun m khng ch ti Can l kh, cho d dng liu cao thng li tiu tin thm ch dng thuc trc thy mnh cng khlm cho tiu tin thng li, phc thy tiu i. Cui cng, dng c v Hong k phin nhm ch kh hnh thy, cng c hiu qu, phng phc thy ti pht. Bnh n X Gan C Trng Do Thp Nhit ng Tr (Trch trong Thin Gia Diu Phng, q Thng)Phan XX, nam 45 tui, nng dn, Khm ln u ngy 18-5-1963. Trong mt thng li y bng mi ngy mt to ra nh ci trng, bnh vin chn on l x gan c trng km lch to ln. Gan lch u to 6cm. Sc mt vng, mt c np nhn, nu rng chy mut, n khng c, nc tiu t, , mch Huyn Sc, cht li , ru vng bn. Bnh ny thuc chng thp nhit ng tr, nc t, kh tr, huyt , c trng. iu tr: phi thanh nhit, ha thp, trc , tiu thng. Cho dng bi Ha Thp Trc Tiu Thng Thang (Mit gip 30g, C mch 30g, Xa tin t 20g, Tam lng 6g, Nga trut 6g, Phc linh 12g, Trch t 18g, Xuyn gip 6g, Xch thc 10g, o nhn 9g, Tiu k 30g, Phc b 12g, H l na qu. Sc ung, mi ngy 1 thang.). Sau khi ung 5 thang na, ng thi pha 30g i Tiu k nu thnh nc thay tr ung nhiu ln. Ung xong bng nc rt ht, n ung dn tng ln, lch co li. Tip theo cho thm mt s v kin t dng huyt nh ng sm, Hong k, ng qui v.v... vo bi thuc trn, ung lin trong hn 4 thng. Thi gian ung king mui. Lch bnh nhn tr li nh bnh thng, cc chng bnh tiu tan, c th lm mt s cng vic ng ng. Theo di ngi bnh 15 nm, khng thy ti pht.Bnh n X Gan C Trng Do Can Ut Kh Tr, T V H Tn (Trch trong Thin Gia Diu Phng, q Thng)Khng XX, nam, 47 tui, nng dn. Ngi bnh tiu ha khng tt, bng trng, nng nht l v ban m, 7-8 nm, khm mt bnh vin chn on l vim gan mn tnh, x gan giai on u. 3 thng gn y bnh nng ln, n ung gim st, tiu ha km, bng trng tng. Ton thn yu sc, gy cm, bng to dn nh ci trng, nc tiu t, mu vng. Mch Trm, Hon. rt nc bng 2 ln, mi ln 1000ml. iu tr:phi hnh kh li thy, th can gii ut. Cho ung phi hp Thanh Oa Tn vi Mu K Sm K Thang. Sau khi dng thuc 100 ngy, c trng rt ht, cc chng dn tin trin, c th lm cc cng vic chn tay thng thng.Bnh n X Gan C Trng Do Thp Nhit nh Tr (Trch trong Thin Gia Diu Phng, q Thng)T X X, nam, 58 tui. Bnh nhn vn nghin ru, n t bng trng. Gn y lng nc tiu gim, bng cng nh trng. Xt nghim chc nng gan thy t l albumin/globulin o ngc, chn on l x gan c trng. Dng thuc ng y v tn dc cha nhng kt qu khng r rt. Do ngi bnh vn nghin ru nn gan lch u b thng tn, th hin sc mt xm en, mi , khng i, tiu tin t, ming hi ng bng trng y, li hi , ru c bn, mch Huyn Sc. l do thp nhit giao tr, gan lch tn thng dn n tc nghn ng dn m thnh c trng. Cho ung an Kh Tiu n Trung Hon (Bch trut 60g, Phc linh 30g, Trn b 30g, Khng bn h 30g, Sinh cam tho 10g, Tiu thn khc 30g, Sinh hng ph 45g, Kh sm 15g, Hong lin sao 15g, Cng chm xa 45g (tm dm sao , tn nh). Cc v thuc trn sau khi tn thnh bt mn, ly dm v nc (mi th mt na) trn thnh h Thn khc ri lm hon to bng ht ng ng, mi ngy ung 2 ln, mi ln 70-80 hon, ung vi nc thuc sau: Bch trut 18g, Trn b 3g, Sinh khng 1 lt, sc ung. i vi ngi bnh h nng, th b v Hong lin, thm Hu phc 15g.), trc ht em thuc hon sc thnh thang ung 10 thang ri mi dng thuc hon 500g. Sau khi ung thuc, bng trng gim dn, tiu tin trong v di, cc chng chuyn bin tt r rt. Li cho ung 1000 hon, ung xong ht c trng, n ngon hn, kim tra chc nng gan, t l albumin/globulin tr li bnh thng, c th tham gia cng tc nh thng. Theo di vi thng thy sc kho vn tt.Bn lun: an Kh Tiu n Trung Hon do Chu an Kh sng ch. Dng bi thuc ny cha x gan, c bit l vi bnh nhn c t l albumin/globulin o ngc, d l c c trng hay khng u thu c hiu qu tt. Thng thng ung t 180g n 210g l c th khin nc tiu trong v nhiu, bnh nng th ung 500g c nh th. Mt s bnh nhn sau khi ht cc triu chng bnh chc nng gan bnh thng th ngng thuc, nhng ri do khng iu , lm vic qu sc th li ti pht, khi li dng bi thuc trn vn c hiu qu tt. Nhng bnh nhn loi ny c cha khi 20 nm m vn kho mnh. V Cng chm sa trong bi thuc cn c tn l Chm sa hay Cng sa.Bi thuc hay cha ung th gan:Bc Nhn Trn 1 Lng, B Cng Anh 1 Lng, Hong Cm 3 ch, Bn Bin Lin 5 ch, Trng 5 ch, Sa Nhn 3 ch, Th Phc Linh 5 ch, Bch Phc Linh 5 ch, V (sng) 5 ch, Huyn Sm 3 ch.

Sc 3 bt cn 1 bt,sc 3 ln ly 3 bt,ha chung li chia lm 3 ln ung trong ngy sau mi ba n.