基于调五脏理论论治肾性水肿  

Treatment of Treating Renal Edema Based on the Theory of Harmonizing Five Viscera

作　　者：牛朝阳[1] 李鹏超[1,2] 孟庆良[1] NIU Zhaoyang;LI Pengchao;MENG Qingliang

机构地区：[1]河南省中医院,河南郑州450002 [2]河南中医药大学第二临床医学院,河南郑州450008

出　　处：《新中医》2020年第15期185-187,共3页New Chinese Medicine

基　　金：国家自然科学基金项目(81874456);河南中医药大学科研苗圃工程项目(MPYJS2017-10)。

摘　　要：中医药治疗肾性水肿历史悠久、经验丰富。笔者从调五脏理论探讨肾性水肿的证治,认为肾性水肿初起多为外邪犯肺、扰及肺肾,病久则致脾肾两虚、水湿泛滥;而肝失疏泄、三焦气化失常是肾性水肿迁延反复的主要因素;气滞血瘀水停胶着夹杂为其重要病理改变。治疗宜重视肾脾肺三焦,可根据病情活用温阳化气、培土制水、提壶揭盖、通利三焦、行气活血等法,以使五脏得调、水肿得消,从而为中医药治疗肾性水肿提供有益思路。Chinese medicine has a long history and rich experience in the treatment of renal edema.Based on the theory of harmonizing five viscera,authors discussed the syndrome and treatment of renal edema.It is believed that origins of renal edema are mostly external pathogen invading the lu ng and affecting the lung and the kidney.The long-term disease leads to the deficiency of both the spleen and the kidney as well as water-dampness flood.The main factors of the recurrent renal edema are the liver failing in free coursing and the disorder of qi transformation of the triple energizers.The important pathological change is the combination of qi stagnation,blood stasis and water retention.Therefore,the treatment should pay attention to the kidney,the spleen and the lung and the triple energizers.According to the condition,we can use the methods of warming yang and transforming qi,cultivating earth and engendering water,diffusing the lung to promote urination,dredging the triple energizers,as well as moving qi and activating blood,and by doing so,the five viscera can be harmonized and the edema can be solved.It is hoped that it can provide a useful thinking for the treatment of renal edema with Chinese medicine.

关 键 词：肾性水肿 病因病机 辨证论治 五脏相关 

分 类 号：R256.51[医药卫生—中医内科学]