何泽云运用引火归原法治疗慢性肾衰病经验  

Clinical Experience of HE Zeyun in the Treatment of Chronic Renal Failure by Yinhuo Guiyuan Method

作　　者：尹欣 何泽云[2] YIN Xin;HE Zeyun(Hunan University of Traditional Chinese Medicine,Hunan Changsha 410208,China;The First Affiliated Hospital of Hunan University of traditional Chinese Medicine,Hunan Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中医药临床杂志》2020年第6期1059-1062,共4页Clinical Journal of Traditional Chinese Medicine

摘　　要：“引火归原”法,是用温药治疗虚阳浮越,肾火妄升,以引火下潜、使阳归肾宅,来调和肾中阴阳的特殊方法。何泽云教授对肾脏病程中虚阳浮越诸证的诊治颇具心得,认为慢性肾衰患者肾中水火阴阳失衡,可出现虚阳浮越,火不归元原之证。其火不归原本质在于火离真元,阳失秘藏。故治疗上采用引火归原法,补虚扶阳,善用温肾之药,使肾之虚火不升,阴阳平调。该文通过对引火归原的治法内涵的论述,阐明临床辨证思路,及该法的实际应用,为我们提供了新的治疗方案。The method of“inducing fire to return to the original”is a special method to treat deficiency and Yang floating and kidney fire rising in order to induce fire to dive and return Yang to kidney house to reconcile Yin and Yang in kidney.Professor HE Zeyun has a lot of experience in the diagnosis and treatment of deficiency yang floating syndrome in the course of kidney disease.He believes that the imbalance of water fire Yin and Yang in the kidney of patients with chronic renal failure can lead to the syndrome that deficiency Yang floats and fire does not return to original.Its fire does not return to the original essence is that the fire leaves the true yuan,the yang loses the secret.Therefore,the treatment of fire reduction method,tonifying deficiency and Fuyang,good use of kidney medicine,so that kidney deficiency fire does not rise,Yin and Yang flat.This paper expounds the idea of clinical syndrome differentiation and its practical application through the discussion of the connotation of the treatment method of igniting fire and returning to the original.In 2005,it provided us with a new treatment.

关 键 词：引火归原 阳虚浮越 慢性肾衰 金匮肾气丸 通脉四逆汤 

分 类 号：R256.5[医药卫生—中医内科学]