1.山东中医药大学附属医院,山东省济南市历下区经十路16369号,250014
2.山东中医药大学
tangsaixue@126.com
收稿:2022-11-07,
修回:2023-03-22,
纸质出版:2023-06-02
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李雪君,于成,李佳静等.丁元庆从肺胃失和论治阻塞性睡眠呼吸暂停低通气综合征经验[J].中医杂志,2023,64(11):1090-1094.
LI Xuejun,YU Cheng,LI Jiajing,et al.DING Yuanqing's Experience in Treating Obstructive Sleep Apnea Hypopnea Syndrome from Disharmony of Lung and Stomach[J].Journal of Traditional Chinese Medicine,2023,64(11):1090-1094.
李雪君,于成,李佳静等.丁元庆从肺胃失和论治阻塞性睡眠呼吸暂停低通气综合征经验[J].中医杂志,2023,64(11):1090-1094. DOI: 10.13288/j.11-2166/r.2023.11.003.
LI Xuejun,YU Cheng,LI Jiajing,et al.DING Yuanqing's Experience in Treating Obstructive Sleep Apnea Hypopnea Syndrome from Disharmony of Lung and Stomach[J].Journal of Traditional Chinese Medicine,2023,64(11):1090-1094. DOI: 10.13288/j.11-2166/r.2023.11.003.
总结丁元庆教授从肺胃失和论治阻塞性睡眠呼吸暂停低通气综合征的临证经验。认为肺胃失和是本病的关键病机,治以调和肺胃、宣畅气机。临证时辨证分型,阳明热盛证宜清热泻火、降气导浊,用小承气汤合泻心汤加减;湿热中阻证宜清热利湿、和胃降逆,用茵陈蒿汤加减;痰瘀互结证宜活血祛瘀、化痰降逆,用桂枝茯苓丸合半夏厚朴汤加减;气虚痰阻证宜补中益气、行水化痰,用防己黄芪汤合厚朴生姜半夏甘草人参汤加减;气阴亏虚证宜益气养阴,用参芪地黄汤加减。同时重视咽喉治疗,常用射干、贝母、醋鳖甲等疏利气血、通利咽喉之品;强调防重于治,尤以改善不良生活方式为要。
This paper summarized the clinical experience of Professor DING Yuanqing in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS) based on the theory of lung and stomach disharmony. It is believed that the disharmony of the lung and stomach is the key pathogenesis of OSASH, and the treatment should be regulating and harmonizing the lung and stomach, diffusing and promoting the flow of
qi
. The treatment should be performed according to the differentiated syndromes. It is proposed that for exuberant heat of
yangming
(阳明), the method of clearing heat and draining fire, directing
qi
downward and removing turbidity should be used with
modified
Xiaochengqi Decoction and Xiexin Decoction
(小承气汤合泻心汤). If there is dampness-heat obstructing the center, it is suggested to clear heat and drain dampness, harmonize the stomach and direct counterflow downward with modified
Yinchenhao Decoction
(茵陈蒿汤). For binding of phlegm and stasis, it is suggested to activate blood circulation and remove stasis, resolve phlegm and direct counterflow downward, with modification of
Guizhi Fuling Pill and Banxia Houpu Decoction
(桂枝茯苓丸合半夏厚朴汤). In terms of
qi
deficiency and phlegm obstruction syndrome, the method of supplementing the center and boosting
qi
, resolving phlegm and promoting diuresis can be used, and the modified
Fangji Huangqi Decoction and Houpu Shengjiang Banxia Gancao Renshen Decoction
(防己黄芪汤合厚朴生姜半夏甘草人参汤). For
qi yin
depletion, it is suggested to boost
qi
and nourish
yin
with modified
Shenqi Dihuang Decoction
(参芪地黄汤). Moreover, importance is attached to throat management by using medicinals with the function of soothing and promoting
qi
and blood, and unblocking the throat, such as Shegan (
Rhizoma Belamcandae
),
Beimu
(Bulbus Fritillariae) and vinegar prepared Biejia (
Carapax Trionycis
). At the same time, it is emphasized that OSAHS is difficult to be cured but can be prevented, especially a healthy lifestyle is critical.
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