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心包积液中医辨治规律探讨

发布时间:2018-07-16 21:18
【摘要】:心包积液由心包或全身多种疾病所引起,根据其临床表现将其归属于中医"心水"范畴。该病是因正气不足,外邪侵袭,久痹入心,或心包受损,气机失调,水与血运行障碍而停聚于心包所导致的一种本虚标实性疾病。心包积液的治疗以扶正祛邪为原则,扶正包括益气、温阳和滋阴;祛邪当以利水为主,气、血、水同调,汗、利、下同施。心包积液根据渗出液与漏出液的不同,分别给予清热凉血解毒与益气温阳利水的基本治疗;同时根据心包积液的病因可分为结核性心包积液、狼疮性心包积液、甲状腺功能减退症性心包积液、尿毒症性心包积液和肿瘤性心包积液等类型,不同病因心包积液的病机亦不同,故予以不同治疗方法。
[Abstract]:Pericardial effusion is caused by pericardial or systemic diseases. The disease is caused by deficiency of qi, invasion of exogenous pathogenic factors, chronic obstruction of the heart, or damage of pericardium, imbalance of qi machine, and obstruction of water and blood flow. The treatment of pericardial effusion is based on the principle of nourishing qi, warming yang and nourishing yin; dispelling evil is mainly in the interest of water, Qi, blood, water homology, sweat, benefit, and the same below. Pericardial effusion is divided into tuberculous pericardial effusion and lupus pericardial effusion according to the difference between exudate and leaking fluid, and the basic treatment of clearing heat, cooling blood, detoxifying toxin and benefiting air temperature, yang and water, and the cause of pericardial effusion can be divided into tuberculous pericardial effusion, lupus pericardial effusion The types of hypothyroidism pericardial effusion, uremic pericardial effusion and tumor pericardial effusion are different, and the pathogenesis of pericardial effusion varies with different etiology.
【作者单位】: 中国中医科学院广安门医院;北京中医药大学;
【基金】:国家自然科学基金(81473561) 国家“重大新药创制”科技重大专项(2013ZX09301307)
【分类号】:R259


本文编号:2127699

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