联邦止咳露致肾性骨病1例及中西医致病机理探讨
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摘要
本文讨论长期滥用联邦止咳露糖浆导致低钾血症和海洛因相关性肾病及其肾性骨病的中西医致病机理。其中主要讨论继发肾性骨病的中医致病机理:因滥用联邦止咳露糖浆导致肺气闭郁,肺气不降于肾,肾不藏精,导致肾精亏虚,肾不能生骨;提示在治疗骨质疏松症的过程中应在补肾填精的同时注意补益肺气。
This article discussed TCM and modern medicine pathogenesis of hypokalemia and heroin-associated nephropathy and its secondary to renal osteodystrophy which is causes by the long-term abuse of federal cough syrup. The main discussion focused on the TCM pathogenesis of renal osteodystrophy: due to the long-term abuse of federal cough syrup cause lung qi pause, lung qi did not transport to the kidney, kidney essence collection is stop, leads to kidney essence deficiency, and marrow cannot be born. It suggested that in the process of treatment of osteoporosis, in addition to replenishing kidney essence, we should also pay attention to replenishing lung qi.
This article discussed TCM and modern medicine pathogenesis of hypokalemia and heroin-associated nephropathy and its secondary to renal osteodystrophy which is causes by the long-term abuse of federal cough syrup. The main discussion focused on the TCM pathogenesis of renal osteodystrophy: due to the long-term abuse of federal cough syrup cause lung qi pause, lung qi did not transport to the kidney, kidney essence collection is stop, leads to kidney essence deficiency, and marrow cannot be born. It suggested that in the process of treatment of osteoporosis, in addition to replenishing kidney essence, we should also pay attention to replenishing lung qi.
引文
[1]黄晓勇,朱信云,黄志军.滥用联邦止咳露糖浆致低钾性麻痹的临床分析[J].临床误诊误治,2012,25(2):51-53.
[2]吕基扬,王庆文.联邦止咳露糖浆致海洛因相关性肾病伴肾性骨病误诊为脊柱关节病1例[J].新医学,2011,42(3):183,198.
[3]江苏新医学院主编.中药大辞典[M].上海:上海科学技术出版社:2000年,2560.
[4]王世伟,高旸,刘文波.肾主骨与骨质疏松症[J].中国中医骨伤科杂志,2011,19(8):76-78.
[5]陈红,李为民.老年男性慢性阻塞性肺疾病与骨质疏松症相关性研究[J].中国呼吸与危重监护杂志,2008(7):263-267.
[6]韩秀文,王进.黄芪治疗骨质疏松症的实验研究进展[J].中外医学研究,2011,9(8):120-121.
[2]吕基扬,王庆文.联邦止咳露糖浆致海洛因相关性肾病伴肾性骨病误诊为脊柱关节病1例[J].新医学,2011,42(3):183,198.
[3]江苏新医学院主编.中药大辞典[M].上海:上海科学技术出版社:2000年,2560.
[4]王世伟,高旸,刘文波.肾主骨与骨质疏松症[J].中国中医骨伤科杂志,2011,19(8):76-78.
[5]陈红,李为民.老年男性慢性阻塞性肺疾病与骨质疏松症相关性研究[J].中国呼吸与危重监护杂志,2008(7):263-267.
[6]韩秀文,王进.黄芪治疗骨质疏松症的实验研究进展[J].中外医学研究,2011,9(8):120-121.