摘要
本文结合临床病例特点,使用中医辨证思维对难治性瘤周水肿(PTBE)的病机特点进行了分析,认为PTBE的属于中医学中的"中风"类疾病。其病机为"肝风内动,水饮停滞"。"风"与"水"两大病机在PTBE的发生发展过程中互为因果,互相加重,形成恶性循环。现有的甘露醇加糖皮质激素的治疗方法主要从治水方面轮治。从而提出了难治性PTBE的治疗重点在于"平息内风"这一原则,在此治疗原则的基础上拟定了以"钩藤、白僵蚕"为君药的处方,并用于临床实际,获得了良好的治疗效果。
Based on the characteristics of clinical cases,this paper analyzed pathogenesis of refractory peritumoral brain edema(PTBE)by TCM syndrome differentiation and it was considered that PTBE belonged to the"stroke"disease in traditional Chinese medicine.The pathogenesis is“liver-wind stirring inside and retained water”.The two major pathogenesis of"wind"and"water"were mutually causal in the process of the occurrence and development of PTBE,which aggravated each other and form a vicious circle.The existing treatment method for mannitol combined with glucocorticoids mainly treated water.Therefore,the treatment of refractory PTBE should focus on the principle of"calming the internal wind".On the basis of this principle of treatment,a prescription of"Uncaria and white muscardine silkworm"as monarch drug was prepared and used for clinical practice,which obtained a good therapeutic effect.
作者
李晓东
张晓勇
LI Xiaodong;ZHANG Xiaoyong(Department of Integrated Traditional Chinese Medicine and Western Medicine,BenQ Medical Center,BenQ Hospital Affiliated to Nanjing Medical University,Nanjing 210019,China;Department of Traditional Chinese Medicine,BenQ Medical center,BenQ Hospital Affiliated to Nanjing Medical University,Nanjing 210019,China)
出处
《中国医药科学》
2018年第22期251-253,257,共4页
China Medicine And Pharmacy
关键词
难治性瘤周水肿
内风
中医
辨证
Refractory peritumoral brain edema
Internal wind
Traditional Chinese medicine
Syndrome differentiation
