| 引用本文: |
湛韬,李杰,毛以林.限盐在中医水肿类疾病治疗的古代文献探究[J].湖南中医药大学学报,2018,38(9):1012-1015[点击复制] |
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| 限盐在中医水肿类疾病治疗的古代文献探究 |
| 湛韬,李杰,毛以林 |
| (湖南中医药大学, 湖南 长沙 410208;长沙市第一医院中西医结合科, 湖南 长沙 410005;湖南中医药大学第二附属医院, 湖南 长沙 410005) |
| 摘要: |
| 西医认为很多水肿类疾病的治疗需要限制钠盐摄入，中医古代文献著作中也有类似记载。从东晋《肘后备急方》开始，关于水肿病限盐的描述散见于多种临床类和本草类著作中，这些著作均记载水肿病需短期忌盐，孙一奎、陈士铎等医家以及《医宗金鉴》尤为注重。大部分著作较笼统地认为水肿病忌盐的原因是食盐味咸、入血、入肾，从而凝泣血脉、损耗津液。综合分析相关著作的记载，可以看出短期忌盐在中医水肿病治疗上有一定的地位，是古代医家在医疗实践中总结的经验性措施。 |
| 关键词: 限盐 忌盐 水肿病 |
| DOI：10.3969/j.issn.1674-070X.2018.09.010 |
| 投稿时间：2018-04-03 |
| 基金项目:国家自然科学基金课题（81673963）；湖南省自然科学基金（2016JJ4068）；湖南省中医药科研计划（201610）。 |
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| Salt Control in Treatment of Edematous Diseases in Traditional Chinese Medicine:An Analysis of Ancient Literature |
| ZHAN Tao,LI Jie,MAO Yilin |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Department of Integrated Traditional Chinese and Western Medicine, The First Hospital of Changsha, Changsha, Hunan 410005, China;The Second Affiliated Hospital, Hunan University of Chinese Medicine, Changsha, Hunan 410005, China) |
| Abstract: |
| Sodium salt control is considered a necessary measure for the treatment of various edematous diseases in Western medicine, and similar records can be found in the ancient literature of traditional Chinese medicine (TCM). Since its first appearance in Handbook of Prescriptions for Emergencies in East Jin Dynasty, description on salt control in edema treatment has been found in various works of clinical medicine and herbal pharmacy, all of which had documentation on short-time salt abstinence in cases of edematous diseases. Among the records, books written by Sun Yikui and Chen Shiduo and Golden Mirror of Medicine have the greatest emphasis on this point. Most relevant literature holds a roughly analyzed perspective on salt abstinence in the treatment of edematous diseases that salt has a salty flavor, and can stagnate blood vessels and consume body fluids once entering blood circulation and the kidney. Through a comprehensive analysis of relevant ancient literature, it can be concluded that short-term salt abstinence used to play a particular role in the treatment of edematous diseases in TCM, and was an empirical measure resulting from the ancient clinicians' practice. |
| Key words: salt control salt abstinence edematous diseases |
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