病证结合辨治复发性尿路结石

刘菡; 张耀圣

doi:10.3969/j.issn.2095-6606.2023.06.011

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病证结合辨治复发性尿路结石

思路与方法 | 更新时间：2023-12-08

- 病证结合辨治复发性尿路结石
- Syndrome differentiation and treatment of recurrent urinary calculi based on combination of disease and syndrome
- 现代中医临床 2023年30卷第6期页码：50-53
- 作者机构：
  
  北京中医药大学东直门医院　北京　100700
- 作者简介：
  
  刘菡，女，在读博士生
  #张耀圣，男，博士，主任医师，博士生导师，E-mail：ysz3129@163.com
- 基金信息：
- DOI：10.3969/j.issn.2095-6606.2023.06.011
  中图分类号： R256.52
- 纸质出版日期：2023-11-30，
  
  收稿日期：2022-10-13，
- 稿件说明：
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刘菡, 张耀圣. 病证结合辨治复发性尿路结石[J]. 现代中医临床, 2023,30(6):50-53.

LIU Han, ZHANG Yaosheng. Syndrome differentiation and treatment of recurrent urinary calculi based on combination of disease and syndrome[J]. Modern Chinese Clinical Medicine, 2023,30(6):50-53.
刘菡, 张耀圣. 病证结合辨治复发性尿路结石[J]. 现代中医临床, 2023,30(6):50-53. DOI： 10.3969/j.issn.2095-6606.2023.06.011.

LIU Han, ZHANG Yaosheng. Syndrome differentiation and treatment of recurrent urinary calculi based on combination of disease and syndrome[J]. Modern Chinese Clinical Medicine, 2023,30(6):50-53. DOI： 10.3969/j.issn.2095-6606.2023.06.011.

摘要

复发性尿路结石是一种慢性代谢性疾病，以脏腑紊乱为核心，以湿热留滞为主要表现形式，病理特征为气血凝滞，主要病机为相火下陷膀胱、三焦气化失常和血气凝滞。临床可分期论治，急性期属湿热下注、气血逆乱，治以利湿理气祛瘀；术后期或清石后期水湿留滞兼夹瘀浊，治以轻用通利、兼理气血。排石后期病机特点为湿浊有余化热，而兼脾肾不足，治法以调脏腑、和阴阳、化湿浊为主。此外，饮食和生活习惯调摄是防治尿石症的重要方面。

Abstract

Recurrent urinary calculi are a chronic metabolic disease with disturbance of the

zangfu

organs as the core

dampness-heat retention as the main manifestation

and the pathological feature is stagnation of qi and blood. Its main pathogenesis is ministerial fire sunken into the bladder

disorder of qi transformation at the three

jiao

and qi stagnation and blood stasis. Clinical treatment should follow a staged approach: In the acute phase

the focus is to address damp-heat pouring downward and counterflow of qi and blood. The treatment here is aimed to drain dampness

regulate qi

and remove blood stasis. The pathogenesis of the postoperative period or the late stage of stone removal is dampness retention complicated by stasis turbidity

which should be treated by promoting urination in a moderate manner and regulating qi and blood. The pathogenesis of the later stage of stone removal is characterized by excess dampness transforming into heat

combined with spleen and kidney deficiency. The treatment is mainly to regulate the

zangfu

organs

harmonize yin and yang

and reduce dampness and turbidity. In addition

diet and lifestyle adjustment is an important aspect of the prevention and treatment of urolithiasis.

关键词

尿石症复发病机病证结合治疗

Keywords

urinary calculirelapsepathogenesiscombination of disease and syndrometherapy

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