宋立群教授从脾肾论治胡桃夹综合征经验撷菁  

Professor Song Liqun's Experience in Treating Nutcracker Syndrome from a Spleen and Kidney Perspective

作　　者：王世鑫 贠捷[2] 代丽娟[2] 张帅臣 马丁 宋立群[2] WANG Shixin;YUN Jie;DAI Lijuan;ZHANG Shuaichen;MA Ding;SONG Liqun(Heilongjiang University of Chinese Medicine,Harbin 150040,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China;China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040 [3]中国中医科学院,北京100700

出　　处：《中医药学报》2024年第10期46-50,共5页Acta Chinese Medicine and Pharmacology

基　　金：宋立群全国名老中医药专家传承工作室建设项目(国中医药人教函〔2022〕75号);第七批全国老中医药专家学术经验继承工作继承人项目(国中医药人教函〔2022〕76号);黑龙江省博士后科研启动金(LBH-Q21043)。

摘　　要：胡桃夹综合征归属于中医“肾风”范畴,宋立群教授结合临床实践,从脾肾论治,认为胡桃夹综合征病机为“肾气不固,阴虚火燔;脾虚血溢,久为寒变;瘀血内停,阻于脉络”。并根据尿血颜色与排尿状态,结合兼症进行辨证论治,应用自拟补脾益肾汤加减治疗脾肾气虚证,自拟清热育阴汤加减治疗阴虚火燔证,自拟温脾扶阳汤加减治疗脾阳亏虚证,自拟通肾化瘀汤加减治疗瘀血阻络证。宋教授同时注重培本固元,补脾为先;急则治标,善用固涩;审机灵活,应变兼证,临床实践,颇为效验。Nutcracker syndrome belongs to the category of“kidney wind”in TCM.Professor Song Liqun combines clinical practice to treat it from the perspective of the spleen and kidneys.The pathological mechanism involves“kidney qi insecurity,yin deficiency with fire blazing;spleen deficiency resulting in bleeding,which becomes chronic and transforms into cold if the condition remains untreated;and blood stasis retained internally obstructing the meridians.”Based on the color of urine and the urination status,combined with accompanying symptoms,individualized treatments are applied:Modified decoction of tonifying spleen and kidney is used to treat the pattern of spleen and kidney deficiency;modified heat clearing and yin nourishing decoction is employed to treat the pattern of yin deficiency with fire blazing;modified decoction of warming the spleen to support yang is utilized to treat spleen yang deficiency;and modified kidney unblocking and stasis resolving decoction is used to address static blood blocking the collaterals.His treatment strategies emphasize strengthening the root and consolidating the source,prioritizing the spleen tonification.He also emphasizes to treat the tip under emergency condition,and emphasizes that one should be good at using astringents,be flexible in clinical decision-making and adapting to various symptoms in treating this condition.These practices have proven to be effective in clinical settings.

关 键 词：胡桃夹综合征 中医经验 

分 类 号：R249[医药卫生—中医临床基础]