首页|期刊导航|实用中医内科杂志|基于"虚气留滞"论治老年阻塞性睡眠呼吸暂停低通气综合征

基于"虚气留滞"论治老年阻塞性睡眠呼吸暂停低通气综合征OA

Treatment of elderly Obstructive Sleep Apnea Hypopnea Syndrome based on the theory of deficient qi stagnation

中文摘要英文摘要

阻塞性睡眠呼吸暂停低通气综合征(obstructive sleep apnea hypopnea syndrome,OSAHS)是一种在老年人群中普遍存在的睡眠呼吸障碍性疾病.近年来,随着我国老龄化程度的加重,OSAHS的防治日益成为医学领域的研究热点."虚气留滞"源自金代成无己的《伤寒明理论》.于雪峰主任医师基于对王永炎院士"虚气流滞"理论的理解,并结合长期的临床经验,认为老年OSAHS多属本虚标实之证,以肺、脾、肾三脏气虚为本,以痰浊、血瘀、气滞等留滞为标,治疗上以"补虚通滞"为基本原则,注重补足肺、脾、肾三脏的虚损,兼以化痰、祛瘀、行气以除邪气,以使祛邪不伤正,愈后防复发.文章通过阐述于雪峰主任医师临床经验和典型案例,为中医药治疗老年OSAHS提供一定的参考.

Obstructive sleep apnea hypopnea syndrome(OSAHS)is a common sleep breathing disorder in the elderly popu-lation.In recent years,with the increasing aging of China,the prevention and treatment of OSAHS has become a research hotspot in the medical field.Director YU Xuefeng,based on his understanding of Academician WANG Yongyan's theory of"deficient qi and stagnation"and combined with his own clinical experience,believes that elderly OSAHS mostly belongs to the syndrome of deficiency in the root and excess in the core,with qi deficiency in the lungs,spleen,and kidneys as the root,phlegm turbidity,blood stasis,and qi stagnation as the standard,and treatment based on the principle of"nourishing deficiency and resolving stag-nation",focusing on supplementing the deficiency and damage in the lungs,spleen,and kidneys,and also resolving phlegm,remo-ving blood stasis,and promoting qi to eliminate evil qi,so as to eliminate evil without harming the right,and prevent recurrence af-ter recovery.This article provides some reference for the treatment of elderly OSAHS with traditional Chinese medicine by elabora-ting on its clinical experience and typical cases.

牛菁邈;于雪峰

辽宁中医药大学,辽宁沈阳 110847辽宁中医药大学附属第二医院,辽宁沈阳 110034

医药卫生

阻塞性睡眠呼吸暂停低通气综合征老年虚气留滞补虚通滞临床经验

obstructive sleep apnea hypopnea syndromeelderlydeficient Qi and stagnationnourishing deficiency and re-solving stagnationclinical experience

《实用中医内科杂志》 2026 (1)

41-44,4

国家中医药管理局区域中医诊疗中心项目(20181012)辽宁省名中医于雪峰传承工作室建设项目(20220815)

10.13729/j.issn.1671-7813.Z25050106

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