心源性水肿的中医治疗进展

Advances in Traditional Chinese Medicine Treatment for Cardiac Edema

摘要: 心源性水肿是指由心力衰竭引起的局部或全身性水肿。现代医学对该病的治疗方法仍较为有限，多数患者在长期使用利尿剂后易出现利尿剂抵抗。中医学将“心源性水肿”归入“水肿”范畴辨证论治，认为其病机属本虚标实，以阳气虚弱、气虚失摄为本，气机郁滞、瘀血阻络、水饮内停为标。中医药在该领域积淀深厚，注重整体调节，具有多途径、多靶点的治疗优势。文章主要总结论述心源性水肿的中医药疗法，目前临床上常用的治法包括中药复方、单味中药、穴为贴敷、针刺、艾灸等，本文通过回顾与分析中医药治疗心源性水肿的相关临床文献及实验研究，对其作用机制和临床疗效进行整理与分析，本文旨在为心源性水肿的临床治疗提供新的思路与参考。

Abstract: Cardiogenic edema refers to local or systemic edema caused by heart failure. The treatment of the disease in modern medicine is still limited, and most patients are prone to diuretic resistance after long-term use of diuretics. In traditional Chinese medicine, “cardiogenic edema” is classified into the category of “edema” for syndrome differentiation and treatment. It is believed that the pathogenesis of “cardiogenic edema” is deficiency in origin and excess in superficiality. It is based on the weakness of yang qi and the loss of qi deficiency, and the stagnation of qi, blood stasis blocking collaterals and internal retention of water and drink are the superficiality. Traditional Chinese medicine has a profound accumulation in this field, pays attention to overall regulation, and has the advantages of multi-channel and multi-target treatment. This paper mainly summarizes and discusses the traditional Chinese medicine therapy of cardiogenic edema. At present, the commonly used clinical treatment methods include traditional Chinese medicine compound, single Chinese medicine, acupoint application, acupuncture, moxibustion and so on. This paper reviews and analyzes the relevant clinical literature and experimental research of traditional Chinese medicine in the treatment of cardiogenic edema, and sorts out and analyzes its mechanism of action and clinical efficacy. This paper aims to provide new ideas and references for the clinical treatment of cardiogenic edema.