五苓散加味治疗肾盂积水体会.docVIP

五苓散加味治疗肾盂积水体会摘要：五苓散出自《伤寒论》方，由猪苓、泽泻、茯苓、桂枝、白术等五味组成，功能利水渗湿、温阳化气，其主治有三：①外感表症，内停水湿，头痛发热，小便不利，烦渴欲饮，水入即吐，舌苔白，脉浮；②水湿内停胃肠，水肿、泄泻、小便不利以及霍乱吐泻等症；③痰饮，脐下动悸，吐涎沫而头眩，或短气而咳者。《伤寒论》原用本方治太阳表邪未解，内传太阳之腑，以致膀胱化不利，遂成太阳经腑同病之蓄水证。 关键词：肾结石/五苓散 肾积水/桂枝 中药治疗 Five water chestnuts disperse add the taste treatment hydronephrosis experience Yuan Shaohua Abstract:Five water chestnuts disperse stem from “Typhoid” the side,by the pig water chestnut,the oriental water plantain,the Poris cocos,the cassia twigs,five senses and so on Bai Zhu is composed,function advantage Shui Shenshi,the warm positive carburetion,it mainly treats has three:①The external disease factors table sickness,in stops wet,the headache gives off heat,the urination is disadvantageous,the bothersome thirsty desire drinks,Shui Ruji spits,the tongue coating is white,the arteries float;②Wet in stops the stomach and intestines,dropsy,the diarrhea,the urination disadvantageous as well as cholera vomiting and diarrhea and so on sickness;③But the edema diseases,under the navel move palpitate,spit the saliva froth dizziness,or short gas coughing.“Typhoid” originally governs the solar table with we evilly not to solve,internal organs of the biography sun,so that the urinary bladder is disadvantageous,then becomes the sun with to get sick the inpoundment card after the internal organs. Keywords:The kidney stone/five water chestnuts disperseKidney ponding/cassia twigsChinese native medicine treatment 【中图分类号】R242 【文献标识码】B 【文章编号】1008-1879(2010)12-0149-02 五苓散出自《伤寒论》方，由猪苓、泽泻、茯苓、桂枝、白术等五味组成，功能利水渗湿、温阳化气，其主治有三：①外感表症，内停水湿，头痛发热，小便不利，烦渴欲饮，水入即吐，舌苔白，脉浮；②水湿内停胃肠，水肿、泄泻、小便不利以及霍乱吐泻等症；③痰饮，脐下动悸，吐涎沫而头眩，或短气而咳者。《伤寒论》原用本方治太阳表邪未解，内传太阳之腑，以致膀胱化不利，遂成太阳经腑同病之蓄水证。 1 临床资料 笔者在临症中用此方加味治疗肾盂积水十余例，皆取得理想效果，特举一例如下： 朱某，女，29岁。患者因腰背胀痛三天于2008年5月前来笔者处就诊。患者自述右侧腰部胀痛，向右下腹放射，欲呕，并不时感到排尿困难，舌苔白腻，右脉弦，经B超提示：右肾盂探及两个增强光团，大小约9×5mm2、8×5mm2，其后伴身影，右侧集合系统分离26mm：右输尿管中上段可见一增强光团，大小为把12×10mm2，其后伴身影，右肾中度积水，诊断为“肾盂结石、输尿管结石、中度肾盂积水”，治以利水通淋，消石排石，处方：瞿麦20g 扁蓄20g 石苇20g 滑石30g冬葵子30g 木通12g 通草1