基于宗气理论辨治艾森曼格综合征  

Differentiation and Treatment of Eisenmenger Syndrome Based on Pectoral Qi Theory

作　　者：张文玉[1] 张宇 史悦辉 卢笑晖[2] ZHANG Wenyu;ZHANG Yu;SHI Yuehui;LU Xiaohui(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250011

出　　处：《山东中医杂志》2025年第4期401-404,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省卫健委卢氏内科流派传承工作室建设项目(编号:lp2022-01)。

摘　　要：艾森曼格综合征是先天性心脏病病情进展的结果,临床症状重,预后差。齐鲁卢氏内科流派基于宗气理论认为艾森曼格综合征的关键病位在心与肺;核心病机为“宗气不足,血脉瘀阻”,先天精气不足、宗气亏虚乃其发病根本,水瘀互结为主要病理改变;治疗原则在于“补益宗气、活血利水”,并以自拟方保元通脉汤加减,临证常取得较好疗效。附验案一则。Eisenmenger syndrome is the consequence of the progression of a congenital heart defect that presents with severe clinical manifestations and has a poor prognosis.LU’School of Internal Medicine of Shandong believes that the primary pathology of Eisenmenger syndrome lies in heart and lung based on the theory of pectoral qi;The core pathogenesis is“deficiency of pectoral qi and blood stasis”,congenital deficiency of qi,deficiency of pectoral qi are the root of its pathogenesis,and combination of water and stasis congestion becomes the main pathological change;The treatment principle is“tonifying pectoral qi,activating blood circulation and removing water”,and self-formulated modified Baoyuan Tongmai Decoction(保元通脉汤)is applied in the treatment,which often achieves good curative effect.A test case is attached.

关 键 词：艾森曼格综合征 先天性心脏病 宗气 补益宗气 活血利水 保元通脉汤 齐鲁卢氏内科流派 

分 类 号：R259.411[医药卫生—中西医结合]