首页|张伯礼教授基于"病证同治"理论辨治下肢动脉硬化闭塞症经验

张伯礼教授基于"病证同治"理论辨治下肢动脉硬化闭塞症经验

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总结张伯礼教授治疗下肢动脉硬化闭塞症(ASO)的临证经验.基于"病证同治"理论,提出"以辨病为先,以分期为主,以辨证为基"的诊疗思路.下肢ASO核心病机为气虚血瘀为本,热毒内蕴为标.治疗方法为全病程补气养血活血,选用当归补血汤;急性期清热解毒凉血,选用四妙勇安汤;稳定期温肾通络止痛,选用补肾通络药组.诊疗之际,应细心权衡轻重、详辨标本之急,处理好标本间关系,确定"治其所苦"为重要治疗策略.再通过典型病案,详细阐释诊疗思路及用药规律.
Professor ZHANG Boli's experience in treating lower extremities arteriosclerosis occlusive disease based on the theory of"same treatment of disease and syndrome"
Summarize Professor ZHANG Boli's clinical experience in treating lower extremities arteriosclerosis occlusive disease(ASO).Based on the theory of"same treatment of disease and syndrome",the diagnosis and treatment approach are proposed that"distinguishing diseases first,mainly in stages,based on syndrome differentiation".The core pathogenesis of lower extremities ASO is based on qi deficiency and blood stasis,with heat toxin accumulation as the symptoms.The treatment method is to tonify qi,nourish blood,and circulate blood throughout the entire course of the disease,choose Danggui Buxue Decoction;during the acute phase,clear heat,remove toxins,and cool blood,choose Simiao Yong'an Decoction;during the stable period,warm the kidney and unblock the meridians and alleviate pain,select the group of tonifying the kidney and unblocking the meridians.During diagnosis and treatment,it is important to carefully weigh the severity,carefully distinguish the urgency of the specimen,handle the relationship between the specimens,and determine"treating the suffering"as an important treatment strategy.Further,explain the diagnosis treatment ideas,and medication patterns in detail through typical medical records.

same treatment of disease and syndromelower extremities arteriosclerosis occlusive diseaseDanggui Buxue DecoctionSimiao Yong'an DecoctionZHANG Boli

崔俊波、秦广宁、江丰、季宏昌

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天津中医药大学附属武清中医院,天津 301700

天津中医药大学,天津 301617

病证同治 下肢动脉硬化闭塞症 当归补血汤 四妙勇安汤 张伯礼

国家中医药管理局国医大师传承工作室建设项目第五批全国中医临床优秀人才研修项目中国中医科学院科技创新工程:学部委员学术传承与传播专项传承津沽中医药名家"薪火相传"行动之张伯礼国医大师工作室建设项目

国中医药人教函[2022]1CI2022E025XB

2024

10.11656/j.issn.1672-1519.2024.10.01

天津中医药
天津市中医药大学,天津中西医结合学会,天津中医药学会

天津中医药

CSTPCD
影响因子：0.998
ISSN：1672-1519
年,卷(期)：2024.41(10)
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