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基于“杂合以治”探讨小柴胡汤结合针刺治疗慢性肾脏病伴抑郁状态的思路 被引量:5

Combination of Xiaochaihu Decoction with acupuncture for treatment of patients with chronic kidney disease in depression based on concept of “hybrid therapies”
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摘要 慢性肾脏病(CKD)的患病率逐年上升,已成为近年来全球关注的重要公共卫生问题之一,抑郁状态是CKD患者最常伴随的心理障碍,严重影响生活与治疗。及时关注CKD患者的抑郁状态并早期干预,更有利于此类心身疾病的治疗与预后。课题组通过CKD伴抑郁状态的研究概览,从《黄帝内经》的“杂合以治”思想出发,发掘《伤寒论》中经方结合针刺治疗心身疾病的经验,分析相关临床与基础研究进展,提出小柴胡汤结合针刺治疗CKD伴抑郁状态的新思路与方法。 The prevalence of chronic kidney disease(CKD)is increasing year by year and has become one of the major public health issues of global concern in recent years.Depression is the most common psychological disorder in CKD patients,which seriously affects their life and treatment.Timely attention to the state of depression in CKD patients and early intervention are more beneficial to the treatment and prognosis of these psychosomatic diseases.Our research group has proposed to treat CKD with depression by Xiaochaihu Decoction together with acupuncture,which is a new treatment logic developed from the concept of“hybrid therapies”in Huangdi Neijing(The Yellow Emperor’s Inner Canon),supported by the experience of combining acupuncture with classic formulas to treat psychosomatic diseases in Shang Han Lun(Treaties on Febrile Diseases)and the analysis of related clinical and fundamental research progress.
作者 王嘉琳 罗磊 李屹 WANG Jialin;LUO Lei;LI Yi(Department of Kidney Diseases,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China)
出处 《上海中医药杂志》 2022年第8期50-53,62,共5页 Shanghai Journal of Traditional Chinese Medicine
基金 上海市科委科研计划项目(18401970603) 上海市卫健委名老中医学术经验研究工作室项目(SHGZS-2017027)
关键词 慢性肾脏病 抑郁 小柴胡汤 针刺 杂合以治 心身疾病 chronic kidney disease depression Xiaochaihu Decoction acupuncture hybrid therapies psychosomatic disease
作者简介 王嘉琳,男,硕士,医师,主要从事中医药治疗肾脏疾病的临床研究工作;通信作者:李屹,博士,主任医师,E-mail:liyi_1313@126.com
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