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
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R543.16

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广东省中医院院内专项项目(YN2024MS049);广东省中医药局中医药科研项目(20241145)


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"
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    摘要:

    从中医血证角度分析,腹主动脉瘤覆膜支架腔内修复术后出现的发热、贫血、胃肠道功能障碍等 并发症多因腹腔瘀血所致,病机可归为下焦蓄血、瘀热互结。基于“祛瘀为治血之要法”理论,可认为治疗术 后并发症应以祛瘀为主,辅以泻热。由于术后还存在贫血、气虚,“祛瘀”的治疗要点应为“补泻兼行,瘀既 祛而正不伤”。桃核承气汤具有逐瘀泻热的功效,适用于下焦蓄血证。

    Abstract:

    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.

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朱玮,潘宗奇,李颖文,陈静薇,李佳,黄伯湘,彭勃,赵青武,黄心洁,彭瑾珂,张开源,林冬群.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

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  • 在线发布日期: 2026-03-12
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