摘要
慢性肾脏病常伴心脏损害,其病机为正虚邪实,正虚以心脾肾虚为主,邪实以水湿、痰浊、气滞、浊毒为主;血瘀是慢性肾脏病心脏损害中医病机之一,且贯穿于疾病发展的始终,具体可归纳为因虚致瘀、因实致瘀、虚实夹杂致瘀。活血化瘀法在临床治疗中确有疗效,常用药物有丹参、红花等。临证治疗时重在活血化瘀,具体运用时当依据病情辨证论治。
The pathogenesis of chronic kidney disease-induced heart damage is vital qi deficiency and pathogen excessiveness;more specifically,vital qi deficiency is mainly caused by heart,spleen and kidney,while pathogen excessiveness is mainly caused by water damp,phlegm turbidity,qi stagnation and turbid toxin.The blood stasis is one of TCM pathogenesises of chronic kidney disease-induced heart damage,and runs throughout the development of the disease,which can be specifically summarized as blood stasis caused by deficiency,blood stasis caused by excess and blood stasis caused by deficiency mingling with excess.The method of promoting blood circulation to remove blood stasis is indeed effective in clinical treatment.Commonly used Chinese medical herbs include salvia miltiorrhiza,safflower,etc.Clinical treatment should focus on promoting blood circulation to remove blood stasis,and specific application should be based on syndrome differentiation and treatment of pathogenetic condition.
作者
江坚青
魏志鑫
万鸣宏
晏子友
皮持衡
JIANG Jian-qing;WEI Zhi-xin;WAN Ming-hong(Jiangxi University of Traditional Chinese Medicine,Nanchang 330006,China;不详)
出处
《山西中医》
2021年第12期1-3,共3页
Shanxi Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(编号:81960843)。
关键词
慢性肾脏病心脏损害
血瘀
病机
学术探讨
chronic kidney disease-induced heart damage
blood stasis
pathogenesis
academic discussion
