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基于"阳化气,阴成形"辨治阻塞性睡眠呼吸暂停低通气综合征

叶敏 王振伟 黄海茵 汤杰

中医药学报2025,Vol.53Issue(8):45-50,6.
中医药学报2025,Vol.53Issue(8):45-50,6.DOI:10.19664/j.cnki.1002-2392.250163

基于"阳化气,阴成形"辨治阻塞性睡眠呼吸暂停低通气综合征

Diagnosis and Treatment of Obstructive Sleep Apnea-Hypopnea Syndrome Based on the Theory of"Yang Transforming Qi,while Yin Constituting Form"

叶敏 1王振伟 2黄海茵 2汤杰2

作者信息

  • 1. 上海中医药大学附属岳阳中西医结合医院呼吸内科,上海 200437||上海中医药大学岳阳临床医学院,上海 200437
  • 2. 上海中医药大学附属岳阳中西医结合医院呼吸内科,上海 200437
  • 折叠

摘要

Abstract

This study explores the formation and progression of obstructive sleep apnea-hypopnea syndrome(OSAHS)from the perspective of the theory of"Yang transforming Qi,while yin constituting form."Based on the apnea-hypopnea index(AHI),OSAHS is categorized into initial,middle,middle-late,and late stages.The pathological states derived from these stages are analyzed in four aspects:insufficient Yang transforming Qi,excessive Yin constituting form,excessive Yang transforming Qi,and insufficient Yin constituting form.Under this theoretical framework,the pathological mechanisms of phlegm,blood stasis,toxin,and deficiency are managed,with treatment principles guided by"examining Yin and Yang to distinguish deficiency and excess."Specific therapeutic approaches include tonifying the lung,fortifying the spleen,and regulating the liver;warming to dispel retained fluid and resolve stasis;detoxifying and resolving stasis with bitter-cold medicinals;and replenishing the kidney,nourishing essence,restoring damage,etc.This approach provides valuable guidance for the clinical diagnosis and treatment of OSAHS.

关键词

阳化气/阴成形/阻塞性睡眠呼吸暂停低通气综合征/阴阳平衡

Key words

Yang transforming Qi/Yin constituting form/Obstructive sleep apnea-hypopnea syndrome(OSAHS)/Yin-Yang balance

分类

医药卫生

引用本文复制引用

叶敏,王振伟,黄海茵,汤杰..基于"阳化气,阴成形"辨治阻塞性睡眠呼吸暂停低通气综合征[J].中医药学报,2025,53(8):45-50,6.

基金项目

国家自然科学基金项目(82073901) (82073901)

上海市卫健委中医药科研项目(2020LP019) (2020LP019)

上海中医药大学附属岳阳中西医结合医院中医专科项目管理平台建设[YW(2023-2024)-05-01] (2023-2024)

上海市"科技创新行动计划"生物医药科技支撑专项(23S21900700) (23S21900700)

中医药学报

1002-2392

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