摘要
上尿路结石临床常见且复发率高,归属中医学"石淋"范畴.史载祥教授认为本病病机为下焦湿热、气滞血瘀,蕴结成石,临证当着重辨别患者气血、阴阳、升降之机,以清热利湿、行气化瘀、通淋排石为基本大法,辅以凉血止血、育阴温阳、化气行水诸法.史载祥教授根据多年经验创制了四金排石汤,以此方化裁施治上尿路结石,临床疗效显著.
Abstract
Upper urinary tract calculi are a common clinical condition with a high recurrence rate,categorized as"urolithic stranguria"in traditional Chinese medicine(TCM).Professor Shi Zaixiang believes the pathogenesis of this disease involves dampness-heat in the lower energizer,qi stagnation,and blood stasis,which result in the formation of stones.In clinical practice,emphasis should be placed on distinguishing the patient's imbalances in qi,blood,yin-yang,and the movements of ascent and descent.The basic principles of treatment include clearing heat and dampness,promoting the flow of qi and blood,relieving stranguria,and expelling stones.Supplementary treatments involve cooling the blood to stop bleeding,nurturing yin and warming yang,and transforming qi to resolve water retention.Based on years of experience,Professor Shi Zaixiang developed the Sijin Paishi Decoction and has applied this formula to treat upper urinary tract calculi with significant clinical efficacy.
国家科技期刊平台
NSTL
维普
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