从“阴火”理论探讨升阳散火汤配合梅花针治疗血液透析患者不安腿综合征

Discussion on Shengyang Sanhuo Decoction with Plum-blossom Needle Therapy for Hemodialysis Patients with Restless Legs Syndrome from “Yin Fire” Theory

不安腿综合征是维持性血液透析的常见并发症之一,目前西医治疗尚无确切疗效,其中医病机为脾肾虚损、气血不足。李东垣所创"阴火"理论源于脾胃气虚、下流于肾、清阳不升,并据此创立升阳散火汤使阳道充盛,阴火自散;"阳三针"集温阳、益气、补肾于一体,具有"阴由阳出"的治疗作用。二者药、针辨证与维持性血液透析患者不安腿综合征的病机一致,可为优化中医药治疗提供新思路和新靶点,并为基层医院提供"廉、简、效"治疗模式。

Restless legs syndrome is one of the common complications of maintenance hemodialysis.At present,there is no exact efficacy of Western medicine treatment.Deficiency of spleen and kidney,and deficiency of qi andblood are the TCM pathogenesis for this syndrome.LI Dong-yuan's theory of“Yin Fire”based on deficiency ofspleen and stomach,down in the kidney,and clear Yang not rising.The creation of Shengyang Sanhuo Decoction canenrich Yang Dao and scatter Yin Fire.Yang three needles can warm yang,tonify qi and invigorate the kidney,and hasa“yang from yin”therapeutic effect.Syndrome differentiation of medicine and acupuncture is consistent with thepathogenesis of restless legs syndrome in hemodialysis patients.It can provide new ideas and new targets foroptimization of TCM treatment,and provide“low cost,simple and effective”treatment mode for primary hospitals.