基于“大气下陷”理论浅析慢性心力衰竭性水肿的治疗  

Analysis of the Treatment of Chronic Heart Failure Edema Based on the Theory of “Atmospheric Subsidence”

作　　者：郑丽苹 王莹威 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨

出　　处：《临床医学进展》2024年第10期1021-1025,共5页Advances in Clinical Medicine

摘　　要：慢性心力衰竭是心血管疾病常见类型之一,好发生于老年,但近些年的研究显示,慢性心衰的患者逐渐开始年轻化,青年的发病率正在逐年上升。心衰属于中医学“胸痹”、“喘证”、“水肿”范畴。本病由多种原因诱导,其初期多表现为心悸,胸闷,短气等症状,后随着病情的不断发展,严重者常出现心脏结构及功能的异常改变,主要表现为呼吸困难、乏力和全身性水肿。传统医家认为其发病多因久病或年老体衰,气血阴阳虚损有关,故采用张锡纯的“大气下陷”理论论治本病,临床上常用升陷汤治疗,以补益通利之法,用补益通利之品去实而愈重病,使正气得补,气机通利,水液代谢畅达,诸病得除。但临床上治疗此病主要以汤剂为主,本文通过分析张锡纯的“大气下陷”理论,阴阳五行的制化以及现代医家运用针灸补益通利的方法,以期为临床治疗慢性心力衰竭性水肿提供更加广阔的思路。Chronic heart failure is one of the common types of cardiovascular disease, which occurs in old age, but studies in recent years have shown that patients with chronic heart failure are gradually starting to get younger, and the incidence of young people is increasing year by year. Heart failure belongs to the categories of “chest paralysis”, “wheezing” and “edema” in traditional Chinese medicine. The disease is induced by a variety of reasons, the initial stage of the disease is mostly manifested as palpitations, shortness of breath, chest tightness and other symptoms, with the progression of the disease, severe cases often appear with abnormal changes in heart structure and function, mainly manifested as dyspnea, fatigue and systemic edema. Traditional physicians believe that its onset is mostly related to long-term illness or old age and physical decline, qi and blood yin and yang deficiency, so Zhang Xichun’s theory of “atmospheric depression” is used to treat the disease, and clinically

关 键 词：心源性水肿 大气下陷 针灸 补益通利气机 

分 类 号：R24[医药卫生—中医临床基础]