从“治水先疏肝”论治特发性水肿  

Treatment of Idiopathic Edema with “Relieving the Liver First to Control the Water”

作　　者：曾月 连道仕 潘超然 王超 Zeng Yue;Lian Daoshi;Pan Chaoran;Wang Chao(College of Integrated Traditional Chinese and Western Medicine,Southweast Medical University,Luzhou 646000,China;Sichuan Integrated Traditional Chinese and Western Medicine Hospital,Chengdu 610041,China;College of Acupuncture and Massage,Chengdu University of TCM,Chengdu 610075,China)

机构地区：[1]西南医科大学中西医结合学院,四川泸州646000 [2]四川省中西医结合医院,四川成都610041 [3]成都中医药大学针灸推拿学院,四川成都610075

出　　处：《亚太传统医药》2022年第3期107-110,共4页Asia-Pacific Traditional Medicine

摘　　要：特发性水肿是一种临床常见疾病,其病因不明,机制不清,现代医学多用利尿剂、激素等对症治疗,往往疗效欠佳且容易反复,中医以独特的整体观念和辨证论治优势,治疗杂病疗效确切。从肝气、肝血和肝经三个方面论述"治水先疏肝"的观点,并附两则验案。特发性水肿虽虚实夹杂,但从整体出发,谨守病机,坚持"虚则补之,实则泻之"的治疗原则,疏肝、理气、行血、调经,则水肿自消。Idiopathic edema is a common disease,its etiology is unknown,the mechanism is not clear,western medicine to use diuretics,hormones and other symptomatic treatment,often poor efficacy and easy to repeat,Chinese medicine with its unique overall concept and the advantages of syndrome differentiation and treatment,in the treatment of miscellaneous diseases curative effect is accurate.This paper discusses viewpoint of“relieving the liver first to control the water”from three aspects of liver qi,liver blood and liver meridian,and two empirical cases are added.Although the deficiency and excess are combined,idiopathic edema should be treated with the principle of “supplying deficiency and expelling excess” from the whole,so as to smooth the liver,regulate qi,promote blood and regulate meridians,and edema should be self-elimination.

关 键 词：特发性水肿 肝 气机 针刺 验案 

分 类 号：R249.2[医药卫生—中医临床基础] R249.7[医药卫生—中医学]