从脾肝肾辨治特发性水肿  

Treatment of Idiopathic Edema from Spleen,Liver and Kidney Based on Syndrome Differentiation

作　　者：刘艳芳[1] 赵逸菲 赵璐[1] 孙俊波[2] LIU Yanfang;ZHAO Yifei;ZHAO Lu;SUN Junbo(Department of Nephrology,the Third Affiliated Hospital of Henan University of Chinese Medicine,Henan Province,Zhengzhou 450003,China;Department of Endocrinology,The Second Affiliated Hospital of Henan University of Chinese Medicine,Henan Province,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第三附属医院肾病科,河南郑州450003 [2]河南中医药大学第二附属医院内分泌科,河南郑州450046

出　　处：《光明中医》2022年第20期3776-3778,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：国家中医药管理局全国名老中医药专家传承工作室建设项目(No.国中医药人教函[2018]134号);河南省卫健委首批中医药拔尖人才培养项目(No.豫卫中医函(2021)70号)。

摘　　要：特发性水肿是一种原因不明的水盐代谢紊乱致使细胞外液在皮下间隙有异常增多的一类综合征,好发于女性,发病主要责之脾、肾、三焦功能失调,但与肝、肺、心也有关,尤其与肝的功能关系密切。此病总属本虚标实,治疗应该根据主病之脏分而治之,此文从脾、肝、肾三脏辨证论治,分脾虚湿蕴、肝郁气滞、肾虚不化3种类型,选用健脾补肾、疏肝理气、化瘀通络等治法选方用药进行中医治疗,临床观察疗效满意,值得推广。Idiopathic edema is a kind of syndrome which causes abnormal increase of extracellular fluid in subcutaneous space due to the disorder of water and salt metabolism.Idiopathic edema occurs in women.The main pathogenesis is dysfunction of spleen,kidney and triple energizer,but it is also related to liver,lung and heart,especially to liver function.This disease always belongs to the deficiency of origin and excess of superficiality,and the treatment should be based on the internal organs of the main disease.In this paper,the syndrome differentiation and treatment of spleen,liver and kidney are divided into three types: spleen deficiency and dampness accumulation,liver depression and qi stagnation,and kidney deficiency and indigestion.The treatment methods of invigorating spleen and kidney,soothing liver and regulating qi,and removing blood stasis and dredging collaterals are selected for traditional Chinese medicine treatment.The clinical observation shows that the curative effect is satisfactory,and it is worth promoting.

关 键 词：水肿 特发性水肿 脾 肝 肾 中医基础理论 

分 类 号：R259[医药卫生—中西医结合]