从三焦气化失司论阻塞性睡眠呼吸暂停低通气综合征合并冠心病中医病机
|
摘要
阻塞性睡眠呼吸暂停低通气综合征合并冠心病是仅次于失眠的第二大睡眠障碍疾患,而冠心病是其一个常见的并发症,二者之间的作用机制及临床治疗对策已成为目前的研究热点之一。但目前未见关于二者合并病的中医病机的论述,文章从三焦气化失司方面论述阻塞性睡眠呼吸暂停低通气综合征合并冠心病的中医病机。
The obstructive sleep hypopnea apnea syndrome combined with coronary heart disease is the second most serious sleep disorder after insomnia, and coronary heart disease is one of the common complications. The mechanisms of action and clinical treatment strategies between the two diseases have become one of the current research hotspots. However, there is a lack of discussion on the TCM pathogenesis of the two diseases. This paper summarized the TCM pathogenesis of obstructive sleep apnea hypopnea syndrome combined with coronary heart disease from the aspect of Sanjiao dysfunction.
The obstructive sleep hypopnea apnea syndrome combined with coronary heart disease is the second most serious sleep disorder after insomnia, and coronary heart disease is one of the common complications. The mechanisms of action and clinical treatment strategies between the two diseases have become one of the current research hotspots. However, there is a lack of discussion on the TCM pathogenesis of the two diseases. This paper summarized the TCM pathogenesis of obstructive sleep apnea hypopnea syndrome combined with coronary heart disease from the aspect of Sanjiao dysfunction.
引文
[1]何权瀛,王莞尔.阻塞性睡眠呼吸暂停低通气综合征诊治指南(基层版).中国呼吸与危重监护杂志,2015,14(4):398-405
[2]侯扬,孙晓斐.冠心病与睡眠呼吸暂停综合征关系的Meta分析.心脏杂志,2014,26(2):179-183
[3]李佳,叶永铭.睡眠呼吸暂停低通气综合征的中医临床治疗现状.现代中西医结合杂志,2009,18(16):1954-1956
[4]王义强,邓悦,于金娜,等.冠心病中医病因、病机及诊治的古代文献回顾.环球中医药,2013,6(4):297-300
[5]王明航,赵焕东,李建生,等.睡眠呼吸暂停综合征中医证候分布规律及其影响因素.辽宁中医杂志,2006,33(1):5-7
[6]汉·张仲景.伤寒论.2版.北京:人民卫生出版社,2017:24
[7]丁光迪.诸病源候论校注.北京:人民卫生出版社,2013
[8]赵昕,齐文升.冠心病中医病机探讨.北京中医药,2012,31(2):108-109
[9]郭霭春.黄帝内经素问校注.北京:人民卫生出版社,2013
[10]张艳,肖阳,庄园.冠心病不同类型与中医病机辨证的关系.中西医结合心脑血管病杂志,2017,15(4):507-508
[11]金·张子和.儒门事亲.北京:人民卫生出版社,2017:153
[12]明·龚廷贤.寿世保元.北京:人民卫生出版社,2013:285
[13]凌耀星.难经校注.北京:人民卫生出版社,2013:55
[14]姜婷,迟伟峰,于广宇,等.从三焦气化失司论冠心病心绞痛的中医病机.中医学报,2015,30(5):684-686
[15]沈红艺.中医气化理论源流考.中医文献杂志,2000(2):1-3
[16]余亚娜,于建春,刘存志,等.论三焦气化说.中医杂志,2009,50(5):389-392
[17]清·张锡纯.医学衷中参西录.北京:中国医药科技出版社,2011:109
[18]许希迎,齐向华,滕晶.鼾症的中医文献研究及凭脉辨证论治鼾症.四川中医,2012,30(2):40-42
[19]王清海.冠心病中医病机四要素及治疗四法.中华中医药学刊,2011,29(7):1466-1467
[20]王德惠,吴贤顺,李晋宏,等.从脾虚“脾不散精”或“散精障碍”探讨糖尿病的中医病机.中医杂志,2014,55(22):1906-1908
[21]孙广仁.中医基础理论.北京:中国中医药出版社,2007:86-87
[22]明·张景岳.景岳全书.太原:山西科学技术出版社,2006:29
[23]李佳,叶永铭.睡眠呼吸暂停低通气综合征的中医临床治疗现状.现代中西医结合杂志,2009,18(16):1954-1956
[24]曹家铭,徐京育,姜春雪.徐京育教授运用三七红参粉治疗气虚血瘀型胸痹经验.中外医学研究,2012,10(2):58
[25]王玉晓.豁痰化瘀方联合西药对冠心病非经皮冠状动脉介入治疗患者血浆同型半胱氨酸水平的影响.中医杂志,2016,57(10):852-855
[2]侯扬,孙晓斐.冠心病与睡眠呼吸暂停综合征关系的Meta分析.心脏杂志,2014,26(2):179-183
[3]李佳,叶永铭.睡眠呼吸暂停低通气综合征的中医临床治疗现状.现代中西医结合杂志,2009,18(16):1954-1956
[4]王义强,邓悦,于金娜,等.冠心病中医病因、病机及诊治的古代文献回顾.环球中医药,2013,6(4):297-300
[5]王明航,赵焕东,李建生,等.睡眠呼吸暂停综合征中医证候分布规律及其影响因素.辽宁中医杂志,2006,33(1):5-7
[6]汉·张仲景.伤寒论.2版.北京:人民卫生出版社,2017:24
[7]丁光迪.诸病源候论校注.北京:人民卫生出版社,2013
[8]赵昕,齐文升.冠心病中医病机探讨.北京中医药,2012,31(2):108-109
[9]郭霭春.黄帝内经素问校注.北京:人民卫生出版社,2013
[10]张艳,肖阳,庄园.冠心病不同类型与中医病机辨证的关系.中西医结合心脑血管病杂志,2017,15(4):507-508
[11]金·张子和.儒门事亲.北京:人民卫生出版社,2017:153
[12]明·龚廷贤.寿世保元.北京:人民卫生出版社,2013:285
[13]凌耀星.难经校注.北京:人民卫生出版社,2013:55
[14]姜婷,迟伟峰,于广宇,等.从三焦气化失司论冠心病心绞痛的中医病机.中医学报,2015,30(5):684-686
[15]沈红艺.中医气化理论源流考.中医文献杂志,2000(2):1-3
[16]余亚娜,于建春,刘存志,等.论三焦气化说.中医杂志,2009,50(5):389-392
[17]清·张锡纯.医学衷中参西录.北京:中国医药科技出版社,2011:109
[18]许希迎,齐向华,滕晶.鼾症的中医文献研究及凭脉辨证论治鼾症.四川中医,2012,30(2):40-42
[19]王清海.冠心病中医病机四要素及治疗四法.中华中医药学刊,2011,29(7):1466-1467
[20]王德惠,吴贤顺,李晋宏,等.从脾虚“脾不散精”或“散精障碍”探讨糖尿病的中医病机.中医杂志,2014,55(22):1906-1908
[21]孙广仁.中医基础理论.北京:中国中医药出版社,2007:86-87
[22]明·张景岳.景岳全书.太原:山西科学技术出版社,2006:29
[23]李佳,叶永铭.睡眠呼吸暂停低通气综合征的中医临床治疗现状.现代中西医结合杂志,2009,18(16):1954-1956
[24]曹家铭,徐京育,姜春雪.徐京育教授运用三七红参粉治疗气虚血瘀型胸痹经验.中外医学研究,2012,10(2):58
[25]王玉晓.豁痰化瘀方联合西药对冠心病非经皮冠状动脉介入治疗患者血浆同型半胱氨酸水平的影响.中医杂志,2016,57(10):852-855