基于伏邪理论治疗阻塞性睡眠呼吸暂停综合征  

Treatment of Obstructive Sleep Apnea based on Latent Pathogen Theory

作　　者：张芳 张家萌 杜宜航 王师菡[1] 边永君[1] ZHANG Fang;ZHANG Jiameng;DU Yihang;WANG Shihan;BIAN Yongjun(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053)

机构地区：[1]中国中医科学院广安门医院,北京市西城区100053

出　　处：《中医杂志》2023年第23期2480-2484,共5页Journal of Traditional Chinese Medicine

基　　金：中国中医科学院基本科研业务费自主选题项目(ZZ0808014)。

摘　　要：阻塞性睡眠呼吸暂停是一种病程缓慢常伴有多种严重并发症的睡眠障碍疾病,其致病特点与伏邪高度吻合。基于中医伏邪理论探讨其病机及治法,认为在病机方面本病以先天正虚为本、痰瘀内伏为标、外邪七情为因。治疗上既要立足于本虚,根据肺、脾、肾三脏虚损的不同,合理选用滋养之品,在培护正气时防止产生及引触伏邪;同时又要着眼于痰瘀,清除已生伏邪,运用化痰祛瘀药物时注重调理肝肺之气。以期为临床中OSA患者的治疗提供新的思路与方法。Obstructive sleep apnea(OSA)is a sleep disorder with a slow course and is often accompanied by multiple serious complications,having highly consistent pathogenic characteristics with the latent pathogen.By exploreing its pathogenesis and treatment based on the latent pathogen theory in traditional Chinese medicine,it is believed that congenital healthy qi deficiency is the root,while internal latent phlegm and stasis is the branch,and external pathogenic seven emotions are causing factors.In terms of treatment,it is necessary to target at root deficiency and use nourishing medicinals according to depletion degree of lungs,spleen,and kidneys.When protecting the healthy qi,it is important to prevent the generation and inducing of latent pathogen.Simultaneously,it is also critical to put focus on phlegm stasis by clearing existing latent pathogens with medicinals having the function of dissolving phlegm and dispelling stasis,as well as regulating liver and lung qi.All these are expected to provide new ideas and methods for the treatment of OSA patients in clinical practice.

关 键 词：阻塞性睡眠呼吸暂停 鼾证 伏邪 痰瘀 

分 类 号：R276.1[医药卫生—中医五官科学]