蔡炳勤教授治疗下肢深静脉血栓形成的经验

Professor CAI Bingqin's experience in the treatment of lower extremity deep venous thrombosis

关键词:  下肢深静脉血栓形成  治疗经验  蔡炳勤

Key words:  lower extremity deep venous thrombosis  treatment experience  CAI Bingqin

摘要:

下肢深静脉血栓形成属于中医“股肿”范畴，蔡炳勤教授认为脉道受瘀血所阻是股肿最主要的病因，本虚标实是其病机要点，本虚主要与气虚有关，标实则与瘀、湿两邪密不可分。治疗上，蔡炳勤教授根据下肢深静脉血栓形成的时间和患肢症状分急性期、缓解期、后遗症期，从患者全身情况出发，结合各时期的临床表现分期辨证论治。急性期以祛邪为先，缓解期扶正祛邪并重，后遗症期重视扶正，并强调急性期要中西医结合治疗。

Abstract:

Lower extremity deep venous thrombosis (DVT) belongs to the category of "thigh swelling" of traditional Chinese medicine. Professor CAI Bingqin believes that the main cause of femoral swelling is the obstruction of blood stasis in the pulse channel. The main pathogenesis of the disease is deficiency of origin and excess. Deficiency of origin is mainly related to deficiency of qi, while standard excess is closely related to blood stasis and dampness. Based on the syndrome differentiation and treatment, according to the time of DVT formation and symptoms of the affected limb, it was divided into acute stage, remission stage and sequelae stage. Based on the general situation of patients, combined with the clinical manifestations of each period, Professor CAI takes different treatment by stages. In the acute stage, it is the first step to expel pathogenic factors, and emphasizes the combination of traditional Chinese and Western medicine. In the remission stage, the equal attention of strengthening the body and expelling pathogenic factors should be paid, while in the sequelae stage, we should pay attention to the strengthening of the body.