新中医2026，Vol.58Issue(5)：33-37,5.DOI:10.13457/j.cnki.jncm.2026.05.006
基于"祛瘀为治血之要法"探讨桃核承气汤治疗腹主动脉瘤相关腹腔瘀血的临床应用思路
Exploring the Clinical Application of Taohe Chengqi Decoction for Abdominal Aortic Aneurysm-Related Abdominal Blood Stasis Based on"Removing Blood Stasis as the Key Method for Blood Disorders"
摘要
Abstract
From the perspective of blood syndrome in traditional Chinese medicine,complications such as fever,anemia,and gastrointestinal dysfunction following endovascular repair of abdominal aortic aneurysms with stent grafts are often caused by blood stasis in the abdominal cavity.The pathogenesis can be attributed to blood stasis accumulation in the lower energizer and the intermingling of blood stasis and heat.Based on the theory of"removing blood stasis as the key method for blood disorders,"the treatment of postoperative complications should primarily focus on dispelling stasis,supplemented by clearing heat.Since postoperative conditions also involve anemia and qi deficiency,the key to"removing blood stasis"lies in"simultaneously tonifying and purging,ensuring that the blood stasis is removed without harming the healthy qi."Taohe Chengqi Decoction,with its effect of purging stasis and clearing heat,is suitable for the syndrome of blood stasis accumulated in the lower energizer.关键词
腹主动脉瘤/腹腔瘀血/祛瘀为治血之要法/下焦蓄血证/桃核承气汤Key words
Abdominal aortic aneurysm/Abdominal blood stasis/Removing blood stasis as the key method for blood disorders/Syndrome of blood stasis accumulated in the lower energizer/Taohe Chengqi Decoction分类
医药卫生引用本文复制引用
朱玮,彭瑾珂,张开源,林冬群,潘宗奇,李颖文,陈静薇,李佳,黄伯湘,彭勃,赵青武,黄心洁..基于"祛瘀为治血之要法"探讨桃核承气汤治疗腹主动脉瘤相关腹腔瘀血的临床应用思路[J].新中医,2026,58(5):33-37,5.基金项目
广东省中医院院内专项项目(YN2024MS049) （YN2024MS049）
广东省中医药局中医药科研项目(20241145) （20241145）
