[1]杜彩平,李松伟.基于“上燥治气、下燥治血”理论探讨干燥综合征的病机和辨治[J].陕西中医杂志,2024,(4):516-519.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.018]
　DU Caiping,LI Songwei.Exploring the pathogenesis and differentiation of Sjogren's syndrome based on the theory of “upper dryness to cure qi,lower dryness to cure blood”[J].,2024,(4):516-519.[doi:DOI:10.3969/j.issn.1000-7369.2024.04.018]
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基于“上燥治气、下燥治血”理论探讨干燥综合征的病机和辨治
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《陕西中医》杂志[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2024年4期
页码:
516-519
栏目:
学术探讨
出版日期:
2024-04-05

文章信息/Info

Title:
Exploring the pathogenesis and differentiation of Sjogren's syndrome based on the theory of “upper dryness to cure qi,lower dryness to cure blood”
作者:
杜彩平1; 李松伟2
(1.河南中医药大学,河南 郑州 450002; 2.河南省中医院,河南 郑州 450002)
Author(s):
DU Caiping; LI Songwei
(Henan University of Traditional Chinese Medicine,Zhengzhou 450002,China)
关键词:
干燥综合征;  病因病机;  上燥治气;  下燥治血;  叶天士;  辨治
Keywords:
Sjogren's syndrome;  Etiology and pathogenesis;  Upper dryness to cure qi;  Lower dryness to cure blood;  Ye Tianshi;  Differentiation and treatment
分类号:
R 593.2
DOI:
DOI:10.3969/j.issn.1000-7369.2024.04.018
文献标志码:
A
摘要:
干燥综合征属于燥痹范畴,清代叶天士提出“上燥治气,下燥治血”的治疗原则,认为上燥耗气,肺又主呼吸之气,伤肺阴,下燥入血,损及肝肾之阴,治疗上二者金水互调,使阴液复。本病病程较长,病情缠绵焦灼,现以“上燥治气,下燥治血”为理论指导探讨干燥综合征的发病机制及辨治,提出阴虚是干燥综合征发病的起因,肝肾阴虚是病情进展之必然,瘀毒是疾病发展之因果,其病机多以感受外邪、伤及肺胃之阴,燥邪日久、肝肾阴虚,燥邪日盛、蕴久成毒为主,治疗上分而治之,包括益气养阴、补益肝肾、活血解毒法,用药上初期多以辛凉甘润为主,中期多以甘咸柔润为主,后期多以苦咸寒润下为主,以期为干燥综合征的防治提供理论基础,进一步丰富“上燥治气,下燥治血”的理论内涵。
Abstract:
Sjogren's syndrome belongs to the category of dry paralysis,Qing dynasty Ye Tianshi put forward the treatment principle of “upper dryness to cure qi,lower dryness to cure blood”,that the upper dry qi,lung governing respiratory qi,hurt the lungs yin,the lower dryness into the blood,damage to the liver and kidney of the yin,the treatment of the two gold and water intermodulation,so that the yin fluid recovery,the course of the disease is longer,the condition is lingering and anxious,now “upper dryness to cure qi,lower dryness to cure blood” as a guide to explore the pathogenesis and treatment of Sjogren's syndrome,proposed that yin deficiency is the cause of the onset of Sjogren's syndrome,liver and kidney yin deficiency is the inevitable progression of the disease,stasis is the cause and effect of the development of the disease.Its pathogenesis is mostly to feel the external evil,hurt the lungs and stomach of the yin,dry evil for a long time,liver and kidney yin deficiency,dry evil day by day,containing poison for a long time,treatment is divided and cured,including invigorating qi and nourishing yin,nourishing liver and kidney,activating blood and detoxification,the early stage of medicine is mainly spicy and cold and sweet,the middle period is mainly sweet and salty and soft,and the later stage is mainly bitter and salty and cold,in order to provide a theoretical basis for the prevention and treatment of Sjogren's syndrome and further enrich the theoretical connotation of “upper dryness to cure qi,lower dryness to cure blood”.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助面上项目(81874465); 河南省中医药科学研究专项课题(20-21ZYZD16)
更新日期/Last Update: 2024-04-10