[1]靳锐锋,崔红生△,陈秋仪.从体质角度探讨阻塞性睡眠呼吸暂停低通气综合征的病因病机及中医药治疗思路*[J].陕西中医,2019,(10):1440-1442.
　JIN Ruifeng,CUI Hongsheng,CHEN Qiuyi..To explore the etiology and pathogenesis of obstructive sleepapneahypopnea syndrome and the treatment of traditional Chinese medicine from the perspective of constitution[J].,2019,(10):1440-1442.
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从体质角度探讨阻塞性睡眠呼吸暂停低通气综合征的病因病机及中医药治疗思路*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1440-1442
栏目:
临床研究
出版日期:
2019-10-05

文章信息/Info

Title:
To explore the etiology and pathogenesis of obstructive sleepapneahypopnea syndrome and the treatment of traditional Chinese medicine from the perspective of constitution
文章编号:
DOI:10.3969/j.issn.10007369.2019.10.036
作者:
靳锐锋; 崔红生△; 陈秋仪
北京中医药大学第三附属医院 （北京 100029）
Author(s):
JIN Ruifeng; CUI Hongsheng; CHEN Qiuyi.
Beijing University of Chinese Medicine Third Affiliated Hospital（Beijing 100029）
关键词:
阻塞性睡眠呼吸暂停低通气综合征; 体质; 病因病机; 诊治思路
Keywords:
Key words 〖HT5”SS〗Obstructive sleep apnea hypopnea syndrome; Ssomatoplasm; Etiology and pathogenesis; Thought of diagnosis and treatment
分类号:
R338.63
文献标志码:
A
摘要:
摘 要 OSAHS是一类多因素引起的复杂性呼吸系统常见疾病，西医治疗难度大。笔者以临床实践经验为依据，运用中医体质理论对OSAHS的病因病机、辨证分型、治疗对策与思路进行梳理，提出痰湿质、湿热质、血瘀质以及气虚阳虚复合质等患者易患OSAHS，痰瘀互结是OSAHS形成的基础与土壤，三焦气机不利是OSAHS发生发展的病机特点。制定化痰利气消瘀为治疗OSAHS的基本方法，依据病人体质不同，分别以健脾化痰，活血利湿治痰湿内蕴证；清热化痰，活血利湿治湿热蕴结证；理气化痰，活血开窍治气滞血瘀证；益气温阳健脾，活血化痰利湿治气阳两虚、痰瘀互结证。辨体辨病辨证三辨模式相结合是治疗OSAHS的有效思路与方法，既能够预防OSAHS发生，又能够控制其进一步发展，符合中医“治病求本”，“未病先防，既病防变”的理念。
Abstract:
Abstract 〖HT5”SS〗OSAHS is a common type of respiratory diseases caused by multiple factors，and western medicine is difficult to treat. Based on the clinical practice experience，the author uses the constitution theory of TCM to sort out the etiology，pathogenesis，syndrome differentiation，treatment strategies and ideas of OSAHS，and proposes that patients with phlegmdampness constitution，dampnessheat constitution，blood stasis constitution，complex constitution of Qideficiency and yangdeficiency are more likely to suffer from OSAHS. Interlinking of phlegm and blood stasis is the basis and soil of OSAHS formation. The disorder of Qi movement in Sanjiao is the pathogenesis of OSAHS. To formulate resolving phlegm，promoting Qi flow and removing stasis as the basic method for the treatment of OSAHS. Choose a treatment based on the patient's constitution. According to the different constitutions of the patients，we choose different treatments. Tonifying spleen，resolving phlegm，promoting blood circulation and eliminating dampness can treat phlegmdamp syndrome. Clearing heat，resolving phlegm，promoting blood circulation and eliminating dampness can treat dampheat syndrome. Regulating Qiflowing，resolving phlegm，promoting blood circulation and regaining consciousness can treat Qi stagnation and blood stasis syndrome. Invigorating Qi and warming yang，tonifying spleen，promoting blood circulation，resolving phlegm and eliminating dampness can treat Qideficiency，yangdeficiency and binding of phlegm and stasis syndrome. The therapy of syndrome differentiation，diseases differentiation and constitution differentiation in combination for treating OSAHS is an effective method. It can prevent the occurrence of OSAHS and control its further development. It is in line with the “treating disease from the root”，“prevention before disease onset”，“preventing disease from exacerbating” of TCM theory. 

参考文献/References:

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备注/Memo

备注/Memo:
*北京中医药大学青年教师自主选题（2019JYBJS170）
更新日期/Last Update: 2019-10-23