基于“血水同治”理论运用桂枝茯苓丸治疗TAPP术后血清肿医案举隅
Case Study on the Treatment of Seroma after TAPP Surgery with Guizhi Fuling Pill Based on the Theory of “Simultaneous Treatment of Blood and Fluid”

桂枝茯苓丸出自东汉医圣张仲景《金匮要略·妇人妊娠病脉证》，为专治妇人相关疾病有效良方。此方为活血化瘀、缓急消癥之剂。后世医家在临证探索中，在继承此方原有作用基础上，将此方临床应用不断扩大，治疗更多疾病，且同样取得显著效果。现代药理表明，此方还可作为治疗血液循环障碍的调整剂，在内科、外科，皮肤科等多个系统中均可应用。本文通过文献研究与临床实践，根据“血水同治”理论运用桂枝茯苓丸的经验，并对TAPP术后血清肿典型医案探讨，体现了辩证论治，异病同治的中医诊疗思想。
Guizhi Fuling Pill originates from “Synopsis of the Golden Chamber: Pulse Manifestations and Syndromes of Diseases in Pregnant Women” by Zhang Zhongjing, the Saint of Medicine in the Eastern Han Dynasty. It is an effective prescription specifically designed for treating women-related diseases. This prescription serves to promote blood circulation to remove blood stasis and alleviate symptoms. In subsequent clinical explorations, based on inheriting its original functions, later generations of physicians have continuously expanded their clinical applications to treat a wider range of diseases, achieving remarkable results. Modern pharmacological studies have shown that this prescription can also be used as an adjuvant in the treatment of circulatory disorders, applicable across multiple medical systems including internal medicine, surgery, and dermatology. Through literature review and clinical practice, this article presents the experience of using Guizhi Fuling Pill according to the theory of “simultaneous treatment of blood and fluid”. It also discusses typical medical cases of seroma after TAPP surgery, embodying the principles of dialectical treatment and treating different diseases with the same method in traditional Chinese medicine.