Ascites is a kind of regression of cirrhosis of the liver to the advanced stage, which belongs to the category of swelling disease in Chinese medicine and has been regarded as an incurable disease. The “Spiritual Pivot” cloud: “bulging what for? The day of the manifestation: the bloated abdomen and body are large …… pale yellow, abdominal tendons up, this is its wait.” The Golden Horoscope – water gas said: “liver water abdominal large, can not turn from side to side, under the duress of abdominal pain, sometimes fluid slightly, urine continued to pass.” Ming Li stile “medical people door dropsy” said: “abdominal swelling and extremely thin limbs, the name of spider compulsion.” Jing Yue Quanshu – swelling “said:” juvenile indulgence in alcohol without restraint, more into the water drum …… its accumulation of gradual day long into the water stains especially. The abdominal distension is called bulging outside the firm full and empty of things, its image like a drum, so the name bulging. Or to the accumulation of gas and blood, can not be mediated dispersion, its poison, such as compulsion, also known as bulging. And the limbs are unharmed, swelling only in the abdomen, so also known as single abdominal distension.” Liver cirrhosis ascites is related to the liver, spleen and kidney, so treatment is mostly considered from these three organs. In the stage of focusing on the treatment of the liver, ascites is not too much. If the liver disease eats the spleen, the spleen is killed, the earth does not control the water, the ascites is aggravated, and gradually to the loss of kidney qi, the ascites becomes more serious. The degree of damage to the liver, spleen and kidneys can be measured by the amount of ascites. Xu Lao divided the treatment of cirrhosis ascites into 4 methods. 1, treatment of the liver method This method focuses on nourishing the liver, eliminating stasis, eliminating obstruction and promoting water. Liver qi deficiency, astragalus is the key medicine for liver qi, can be used with astragalus peel to increase the function of water, can also be added with even skin poria, winter melon skin, etc.; liver yang deficiency, can be used to pass yang and water; liver blood deficiency, liver yin deficiency, more difficult to treat, blood deficiency and blood stasis, the evil water does not change, focus on nourishing blood and stasis, nourishing yin and water, can be consistent decoction combined with oyster Zhaodi San, in which oyster, seaweed both soften the hardness and disperse the knots Now we use Mr. Zou Liangcai’s “Lan Dou Feng Broussonet Soup” with the addition and subtraction of medicine: Ze Lan, Ze Di, Black material bean, Lulutong and Broussonetia. 2, treatment of the spleen method liver disease transmitted to the spleen, ascites increased weight, yellow face, weakness, abdominal distension such as dropsy, loss of appetite, abdominal distension after eating especially, less urination, insubstantial stool, thin or greasy moss, side teeth marks, pulse moist and slow. The treatment method is to tonify the spleen and transport the middle, but the spleen is deficient with accumulation, tonifying the middle should contain the meaning of pass, earth deficiency and wood thief, tonifying the deficiency should not forget and liver, the selection of prescriptions and medications, quite a lot of trouble, Xu Lao often used Gui Shao Liujun Tang, “The Essentials of the Golden Horoscope” Angelica Paeoniae San (Angelicae, Paeoniae, Chuanxiong, Atractylodes, Poria, Zedoary) as the main formula, plus the use of Ze Lan, motherwort, etc. to activate blood and water, focusing on the liver and spleen, taking into account blood and water, in order to achieve the function of supporting the spleen and water, nourishing blood and liver. The disease is transmitted from the liver and spleen to the kidneys, and the condition further deteriorates, but kidney yang deficiency is often seen simultaneously with spleen yang deficiency. If the spleen and kidney are deficient, we can choose Yin Chen Jie Fu Tang as the main formula, adding Chicken Nei Jin and Verbena etc. to remove stasis and drain turbidity and promote water circulation. If the kidney yang deficiency, the face is bang white or gray dull, timid and cold, abdominal swelling, swelling around the body, especially in the lower limbs, soreness and weakness of the waist and knees, irregular bowel movements, little urine, light and fat tongue, sunken and thin pulse, the treatment is to warm the kidney and transform the qi, commonly used formula is Jisheng Kidney Qi Pill as the main, the formula is wonderful in the cow knee, Che Qian 2 taste, cow knee in addition to benefit the liver and kidney to replenish the essence of qi, has the function of activating blood and diuretic, where blood stasis, urine is not good, is the best supplies, cow knee It can also be used with Dampi, which can resolve stagnation in the lower jiao, in order to facilitate the watery evil; Che Qian Zi is sweet and cold, smooth, smooth and can be removed without the disadvantage of depleting the qi and hurting the yin. In addition, there is a special treatment method in the treatment of the kidney, “the method of tonifying the lower and enlightening the middle”. This method originated from Zhang Jinyue. He pointed out in Jing Yue Quan Shu that “the treatment of water must be preceded by the treatment of qi, but the true qi of the lower jiao can be transformed when it is carried out, and the true water of the lower jiao can be distinguished when it is located.” To open a method for the treatment of kidney deficiency dropsy. When dropsy develops to the stage where kidney qi is greatly injured and true qi is dried up, qi transformation has no right, and ascites is especially serious, with evidence of abdomen as big as an urn, umbilical protrusion with little urine, waist pain like folding, shortness of breath, and swelling of the lower limbs. At this time, the kidney qi is greatly injured, can no longer break its qi, the kidney water will be exhausted, can not resume its water; attack is immediately seen in peril, elimination is also not helpful; only its steep tonic its lower to sparingly open it, so as to open the kidney off, drain the water evil; slow down the swelling potential to continue the life. The only way to open up the kidney and release the watery evil is to make the lower part of the body open up and continue the vitality. If the true yin is exhausted, can also be used with rehmannia, wolfberry, dogwood, cistanches, shouwu, yam, turtle board and other thick taste nourishing yin, nurturing yin and gas. Although this method is not commonly used, in practice, all in the review of the situation, flexible use. 4, water method dropsy Chinese medicine identification swelling is water, distension is gas, so the flow of gas and water is an important treatment for cirrhosis ascites, when needed, is bound to increase ascites, the reason is that patients with cirrhosis are short urine, and diuretic effect is not good, not to achieve the desired purpose, the consequences of more than bad. Commonly used formula such as five skin drink, medicine: Chen Pi, mulberry skin, poria skin, big belly skin, ginger skin, psyllium, verbena, zedoary, motherwort, corn husk, winter melon skin and other drugs are also commonly used.