| 本文已被：浏览 233次 下载 121次 |
码上扫一扫！ |
|
|
| 基于“水气内停”探讨4型心肾综合征的中医治疗思路 |
|
杨精华1,2, 祝昌昊1,2, 杨思齐1,2, 王耀光1,2
|
|
1.天津中医药大学第一附属医院, 天津 300381;2.国家中医针灸临床医学研究中心, 天津 300381
|
|
| 摘要: |
| 4型心肾综合征是由慢性肾功能不全引起的心功能损伤的一组临床综合征。结合4型心肾综合征的临床表现，可将其归属于“水气病”“心悸”“喘证”“胸痹”等中医疾病范畴。而水气内停贯穿于4型心肾综合征全程，患者多以水肿、喘憋为主诉就诊。文章以水气内停病机为切入点，分阶段辨证施治，采用益气行水、温阳利水、活血利水、攻逐利水、泄浊解毒等标本兼治之法，通利水气，以期为中医临床治疗4型心肾综合征拓展思路。 |
| 关键词: 4型心肾综合征 水气内停 利水 泄浊解毒 中医治疗 |
| DOI：10.11656/j.issn.1673-9043.2024.04.13 |
| 分类号:R256 |
| 基金项目:国家重点研发计划项目（2018YFC1704102）；国家名老中医药专家传承工作室项目（978022）；中医药事业传承与发展：王耀光天津市名中医传承工作室项目（883022）。 |
|
| Discussion on the traditional Chinese medicine treatment ideas of type 4 cardiorenal syndrome based on "shuiqi internal stop" |
|
YANG Jinghua1,2, ZHU Changhao1,2, YANG Siqi1,2, WANG Yaoguang1,2
|
|
1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
|
| Abstract: |
| Type 4 cardiorenal syndrome(CRS) is a group of clinical syndromes with cardiac impairment caused by chronic renal insufficiency. Combined with the clinical manifestations of type 4 CRS,it can be classified as a category of traditional Chinese medicine(TCM) diseases such as "disease of Shuiqi" "palpitations" "asthma" "chest arthralgia" and so on. The shuiqi internal stop runs through the whole process of type 4 CRS,and edema and wheezing are often the main complaints and the most urgent problems to be solved by patients. This paper takes the shuiqi internal stop machine as the starting point,and implements the treatment in stages,and adopts the combination of yiqi xingshui,wenyang lishui,huoxue lishui,gongzhu lishui,turbidity-draining and toxin-removing,in order to tongli shuiqi to broaden the clinical treatment ideas of TCM of type 4 CRS diagnosis. |
| Key words: type 4 cardiorenal syndrome shuiqi internal stop lishui turbidity-draining and toxin-removing traditional Chinese medicine treatment |
