高脂血症从脾论治探幽

发布时间：2018-05-23 14:08

本文选题：高脂血症 + 脾虚　；参考：《世界中西医结合杂志》2017年04期

【摘要】：高脂血症是缺血性心脑血管疾病的主要且独立的危险因素,血脂水平与脾虚证有直接且密切的关系,脾气虚致使脾的运化和转输功能失司,痰浊内生,形成脂浊。目前中医药降脂的方法种类繁多,治疗角度各有差异,如疏肝除湿,泻肝活血、补肾降脂、利胆泄浊、涤痰化瘀,通腑降气等。不可否认,在实际应用中,这些方法都取得了一定的临床效果。但由于未抓住高脂血症发生及发展的关键——脾虚,仅针对某个病因或某个病机发展阶段论治,不能透过现象看本质,舍本求末,故临床疗效稍有不佳。笔者认为治疗高脂血症必须紧紧抓住脾失健运,痰浊内生这一病机关键,健运后天以治本,化痰祛浊以治标,脾健痰化,膏脂自消。因此理脾化痰为治疗高脂血症重要法则。以治脾为本,并不意味着排斥其他治法,而是根据患者伴随症状,在健脾的同时,伍以相应的治法,共奏降脂之效。
[Abstract]:Hyperlipidemia is the main and independent risk factor of ischemic cardiovascular and cerebrovascular diseases. The level of blood lipid has a direct and close relationship with spleen deficiency. At present, there are many kinds of methods and different treatment angles, such as dehumidification of liver, purging liver and activating blood circulation, tonifying kidney and lowering blood fat, promoting gallbladder, removing phlegm and removing blood stasis, unblocking and removing qi and so on. There is no denying that these methods have achieved certain clinical effects in practical application. However, because the key to the occurrence and development of hyperlipidemia, spleen deficiency, only for a certain etiology or a pathogenesis of the development stage of treatment, can not see through the essence of the phenomenon, the end of the disease, so the clinical efficacy is slightly poor. The author thinks that the treatment of hyperlipidemia must grasp the key of the pathogenesis of spleen failure, phlegm turbid endogenesis, cure the root of the disease after the day after the health, remove the turbid phlegm to treat the symptoms, strengthen the phlegm of the spleen, and eliminate the fat by ointment. Therefore, regulating the spleen and resolving phlegm is an important rule in the treatment of hyperlipidemia. To treat the spleen as this does not mean to reject other treatments, but according to the patient's accompanying symptoms, in the spleen at the same time, combined with the corresponding treatment, together with the effect of lipid-lowering.
【作者单位】：中国中医科学院广安门医院;
【基金】：国家自然科学基金资助项目(81470184) “十二五”国家科技支撑计划“名老中医临床经验、学术思想传承研究(一)”项目(2013BAI13B041) 2012年国家中医药管理局行业专项(201207001)
【分类号】：R259

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