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基于"三焦"理论辨治维持性血液透析患者不宁腿综合征

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不宁腿综合征是维持性血液透析患者的常见并发症,基于"三焦"理论分析此病的病机及辨治,认为上焦心肾不交、肺卫不固,中焦脾胃失司、湿热下注,下焦阴风内动、瘀血阻滞,均是维持性血液透析患者继发不宁腿综合征的病机.现结合古籍文献及现代医家观点,围绕五脏虚实辨证治疗,以疏利三焦气机、调节脏腑功能、祛湿化瘀治疗不宁腿综合征,可取得较好疗效.
Diagnosis and Treatment of Restless Leg Syndrome in Maintenance Hemodialysis Patients Based on the"Sanjiao"Theory
Restless leg syndrome is a common complication in maintenance hemodialysis patients.Based on the"sanjiao"theory,the pathogenesis and treatment of this disease are analyzed.It is believed that upper Jiao heart kidney failure,lung dysfunction,middle Jiao spleen stomach dysfunction,damp heat stagnation,lower Jiao Yin wind internal movement,and blood stasis block are all the pathogenesis of secondary restless leg syndrome in maintenance hemodialysis patients.Based on ancient literature and modern medical perspectives,this study focuses on the differentiation and treatment of deficiency and excess in the five organs.By regulating the qi mechanism of the three burners,regulating the function of the organs,and removing dampness and stasis,the treatment of restless leg syndrome can achieve good therapeutic effects.

Maintenance HemodialysisChronic Kidney DiseaseRestless Leg SyndromeFive OrgansSanjiao

李建军、周倩云

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萍乡市中医院 江西 萍乡 337000

维持性血液透析 慢性肾脏病 不宁腿综合征 五脏 三焦

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(6)