李庆海治疗心包积液经验

详细信息    查看全文 | 推荐本文 |

英文篇名：LI Qinghai's Experience in Treating Pericardial Effusion 作者：郭小乐 ; 谢秋利 ; 徐江雁 英文作者：GUO Xiaole;XIE Qiuli;XU Jiangyan;Institute of Literature and Culture of Traditional Chinese Medicine,Shandong University of Traditional Chinese Medicine;The Third Affiliated Hospital of Henan University of Chinese Medicine;Henan University of Chinese Medicine; 关键词：心包积液 ; 支饮 ; 水饮内停 ; 名医经验 ; 李庆海 英文关键词：pericardial effusion;;thoracic retained fluid;;internal retention of thoracic fluid;;experience of famous doctors;;LI Qinghai 中文刊名：ZZYZ 英文刊名：Journal of Traditional Chinese Medicine 机构：山东中医药大学中医文献与文化研究院;河南中医药大学第三附属医院;河南中医药大学; 出版日期：2019-01-17 出版单位：中医杂志 年：2019 期：v.60 语种：中文; 页：ZZYZ201902004 页数：4 CN：02 ISSN：11-2166/R 分类号：19-21+25

摘要

介绍李庆海治疗心包积液的经验。传统中医四诊难以发现心包积液,提倡中西医结合,借助现代检查以明确病位病性,再根据四诊辨明缓急轻重,使治疗更具有针对性。心包积液属于"支饮"范畴,以气、阴、阳亏虚为本,水饮内停为标;治疗宜从气、血、水共调入手,补虚应以益气、温阳滋阴为主,泻实以利水为主,寒温并用。热毒逆传心包或郁热者,当清热利水;因瘀致水者,当行气活血利水。
        This paper introduced LI Qinghai' s experience in treating pericardial effusion. It is difficult to find pericardial effusion by the four examination of traditional Chinese medicine. On the other hand,with the integration of traditional Chinese medicine and western medicine,the help of modern examination to determine the pathological condition,and the four examinations to find out the essence of the disease,the treatment will be more targeted. Pericardial effusion belongs to"thoracic retained fluid(zhiyin) ",whose root cause is qi,yin and yang deficiency and symptom is internal retention of thoracic fluid. Treatment starts from the harmonizing of qi,blood and water. Resorting qi mainly based on the reinforcing of qi and resorting of yin and yang. Purging excessive pathogenic factors mainly based on increase of water excretion and the combination of herbs of warm and cold property. If the patient suffers from excessive heat,the treatment will be clearing heat and increasing water excretion. If the patient suffers from dampness caused by stasis,the treatment will be promoting the circulation of qi and blood and increasing water excretion.

引文

[1]卿立金,吴伟,周小雄,等.“五诊十纲”理论指导心包积液辨证论治[J].中西医结合心脑血管病杂志,2017,15(13):1665-1667.
    [2]ABDALLAH R,ATAR S. Etiology and characteristics of large symptomaticpericardial effusion in a community hospital in the Contemporary Era[J]. QJM,2014,107(5):363-366.
    [3]沈盛.苓桂术甘汤加味治疗特发性慢性心包积液10例[J].浙江中医杂志,2011,46(5):326-327.
    [4]齐国先.心包积液临床诊治思路[J].中国实用内科杂志,2012,32(7):520-522.
    [5]葛均波,徐永健.内科学[M]. 8版.北京:人民卫生出版社,2013:317.
    [6]刘建伟.温心利水法治疗慢性心包积液经验[J].中医研究,2014,27(7):50-51.
    [7]杨军玉.中西医结合治疗急性心包积液30例[J].浙江中西医结合杂志,1995,5(2):54-55.
    [8]黄明艳,陈光,高嘉良.心包积液中医辨治规律探讨[J].中医杂志,2017,58(22):1902-1904.
    [9]关璐,王春雷.不明原因顽固性心包积液从支饮论治浅谈[J].中医药学报,2014,42(2):105-107.
    [10]李欣,史晓.何立人治疗心包积液验案1例[J].光明中医,2015,30(1):151.
    [11]左强.从热毒内陷心包辨治肾病综合征合并结核性心包炎举隅[J].中医药学报,2015,43(4):71-72.
    [12]金政,都治伊,魏伟超,等.邓铁涛“五诊十纲”诊断思路在心包积液诊治中的应用[J].广州中医药大学学报,2017,34(6):919-920.