"血水同治"理论在糖尿病合并心血管疾病中的运用OA
Application of"Treatment of Blood and Fluid Together"Theory in Diabetes Complicated with Cardiovascular Diseases
探讨"血水同治"理论及其在糖尿病合并心血管疾病发病机理中的应用,阐述气、血、水之间的内在联系以及瘀血、痰浊和水肿之间的相互关系.无论气虚、气滞、血虚、血热、血寒、痰浊还是血瘀均可导致血液循环不畅,进而引起水液运化失常,产生痰饮水湿停聚之类疾病.糖尿病合并心血管疾病是糖尿病晚期且严重的并发症,其发病机制与气阴两虚、痰瘀阻滞密切相关.在这一理论指导下,通过灵活掌握益气活血利水法,并采用抵当芪桂汤合瓜蒌薤白半夏汤化裁进行个体化治疗,能够取得显著的临床疗效,对于传承和发扬中医药在急重症的治疗方面的优势,以及促进中医理论和经方应用的研究都具有重要意义.
It is to explore the theory of"simultaneous treatment of blood and water"and its application in the pathogenesis of diabetes mellitus complicated with cardiovascular disease,and to explain the internal relationship of Qi,blood and water,as well as the relationship of blood stasis,phlegm turbidity and edema.Whether it is Qi deficiency,Qi stagnation,blood deficiency,blood heat,blood cold,phlegm turbidity or blood stasis,it can lead to poor blood circulation,which in turn causes abnormal water trans-port and transformation,resulting in diseases such as phlegm and water retention.Diabetes mellitus complicated with cardiovascu-lar disease is a advanced and serious complication of diabetes mellitus.Its pathogenesis is closely related to Qi and Yin deficiency and phlegm and blood stasis.Under the guidance of this theory,through the flexible grasp of benefiting Qi,activating blood circu-lation and promoting urination method,and the use of Didang Qigui Decoction(抵当芪桂汤)and Gualou Xiebai Banxia Decoc-tion(瓜蒌薤白半夏汤)for individualized treatment,can achieve significant clinical efficacy.It is of great significance for inheri-ting and promoting the advantages of traditional Chinese medicine in the treatment of acute and critical illnesses,as well as for ad-vancing research on TCMtheories and the application of classical prescriptions.
牛耘;谭颖颖;杨景锋
陕西中医药大学基础医学院,陕西 咸阳 712000||中国航空工业集团公司西安飞机设计研究所综合门诊部,陕西 西安 710089陕西中医药大学基础医学院,陕西 咸阳 712000陕西中医药大学基础医学院,陕西 咸阳 712000
医药卫生
活血利水经方血水同治临床运用
promoting blood circulation and promoting urinationclassic formulaeblood and water treatmentclinical applica-tion
《辽宁中医杂志》 2026 (3)
58-61,4
国家自然科学基金项目(81873296)
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