基于中医多维辨证探讨慢性心肾综合征机制  

Based on TCM Multidimensional Syndrome Differentiation to Discuss the Pathogenesis of Chronic Cardiorenal Syndrome

作　　者：聂慧芳[1] 徐文峰[2] 葛金文[1] NIE Huifang;XU Wenfeng;GE Jinwen(Key Laboratory of Hunan Province for Integrated Traditional Chinese and Western Medicine on Prevention and Treatment of Cardio-Cerebral Diseases,Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]湖南中医药大学中西医结合心脑疾病防治湖南省重点实验室,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《湖南中医药大学学报》2020年第11期1335-1337,共3页Journal of Hunan University of Chinese Medicine

基　　金：湖南中医药大学科研基金(2018XJJJ17);湖南省研究生科研创新项目(CX20190540)。

摘　　要：慢性心肾综合征是由心脏或肾脏慢性功能障碍导致另一器官慢性功能损伤的临床综合征,目前中西医病理机制并不十分明确,中医多从“心肾不交”进行阐述。从脏腑、络脉、三焦多维辨证角度,以脏器亏虚、络脉血瘀、三焦不利为辨证核心,探讨慢性心肾综合征的中医病机,以期为临床辨治慢性心肾综合征提供参考依据。Chronic cardiorenal syndrome is a clinical syndrome in which chronic dysfunction of heart or kidney leads to chronic dysfunction in the other organ.At present,the pathological mechanism of traditional Chinese medicine(TCM)and western medicine is not very clear,and it is mostly expounded from"heart-kidney disharmony"in TCM.From the multi-dimensional angle of zang-fu organs,collateral and Sanjiao,this paper took viscera deficiency,collateral blood stasis and Sanjiao blockage as the core of syndrome differentiation,and discussed the TCM pathogenesis of chronic cardiorenal syndrome,so as to provide reference basis for its clinical diagnosis and treatment.

关 键 词：慢性心肾综合征 脏腑辨证 络病 三焦 

分 类 号：R256.5[医药卫生—中医内科学]