中医药治疗肾性水肿研究进展  

Research Progress of TCM in the Treatment of Renal Edema

作　　者：郭璐萱 刘洋[1,2,3] 付宝慧 郝娜 杨洪涛[1,2,3] GUO Luxuan;LIU Yang;FU Baohui;HAO Na;YANG Hongtao(Tianjin University of Traditional Chinese Medicine,Tianjin,China,301617;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin,China,300382;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin,China,300382)

机构地区：[1]天津中医药大学,天津301617 [2]天津中医药大学第一附属医院,天津300382 [3]国家中医针灸临床医学研究中心,天津300382

出　　处：《河南中医》2023年第12期1931-1937,共7页Henan Traditional Chinese Medicine

摘　　要：中医药治疗肾性水肿的辨证方法主要包括病因辨治、脏腑辨治、六经辨证、三焦论治等,治疗方法包括专药治疗、中医复方治疗和中医外治法等。目前研究存在的问题是,以往的中医药临床试验仍缺乏对诊断、治疗方法和症状的深入研究,缺乏统一的证据分类标准和结果指标。临床研究主要侧重于临床病例和实践经验总结,治疗周期相对较短,缺乏高质量的临床试验和大规模、多中心、长时间的专业统计分析。今后,应加强对中医诊断标准的研究,扩大样本量,完善和规范证候分型体系,进一步研究中药复方、单味中药、中药单体的疗效和安全性。在临床实践中,可以将中医的辨证和西医的分期相结合,将宏观与微观辨证相结合,更客观地了解肾性水肿的发展,更有目的地遣方用药;在确定中草药的有效性和安全性时,应当充分利用现代科学技术来阐明其化学成分,改变其结构或开发新的制剂来改善其药代动力学特性,从而提供新的治疗方法。The syndrome differentiation methods of renal edema treated with TCM mainly include etiological differentiation and treatment,zang-fu differentiation and treatment,six-meridian differentiation and treatment,triple-energizer differentiation and treatment.The treatment methods include special drug treatment,compound Chinese medicine treatment,and external treatment of TCM,etc.The current problems in research are that the previous clinical trials of TCM still lack in-depth research on diagnosis,treatment methods and symptoms,and lack unified evidence classification standards and outcome indicators.Clinical research mainly focuses on clinical cases and practical experience summary,with relatively short treatment cycle,and lack of high-quality clinical trials and large-scale,multi-center,long-term professional statistical analysis.In the future,it is necessary to strengthen the research on the diagnostic criteria of TCM,expand the sample size,improve and standardize the syndrome typing system,and further study the efficacy and safety of Chinese medicine compound formulas,single drugs,and Chinese medicine monomers.In clinical practice,it is possible to combine the syndrome differentiation of TCM and the staging of Western medicine,and combine the macro and micro syndrome differentiation to more objectively understand the development of renal edema,and more purposefully prescribe drugs.When determining the efficacy and safety of Chinese herbal medicines,modern science and technology should be fully utilized to clarify their chemical ingredients,change their structures or develop new preparations to improve their pharmacokinetic properties,thus providing new therapeutic methods.

关 键 词：肾性水肿 病因辨治 脏腑辨治 六经辨证 三焦论治 专药治疗 中医复方治疗 中医外治法 

分 类 号：R277.5[医药卫生—中医学]