从“治血三法”浅谈肾性血尿的治疗  

Discussion on therapy of renal hematuria according to three methods of blood-stanching

作　　者：顾鸣佳[1] 高磊平[1] GU Mingjia;GAO Leiping(Department of Nephrology,Changshu Hospital Affiliated to Nanjing University of Chinese Medicine,Changshu 215500,Jiangsu,China)

机构地区：[1]南京中医药大学常熟附属医院肾内科,江苏常熟215500

出　　处：《上海中医药杂志》2020年第11期32-34,共3页Shanghai Journal of Traditional Chinese Medicine

基　　金：江苏省常熟市科技局科技发展计划项目(CS201923)。

摘　　要：从"宜行血不宜止血""宜补肝不宜伐肝""宜降气不宜降火"3方面,阐述明代医家缪希雍"治血三法"在肾性血尿治疗中的应用。肾性血尿多久病入络,活血化瘀法应贯穿始终;行血之药久用易伤阴动血,故常与柔肝养血之品相互配伍;肾性血尿常兼夹湿热、风热之邪壅滞肾络,少佐升散之药可恢复全身气机而驱邪外出。From three aspects of"blood should be activated instead of stopped""liver should be tonified instead of attacked"and"qi should be cut down rather than dropped fire",the application of Miao Xiyong’s three methods of blood-stanching in the treatment of renal hematuria was analyzed.The course of renal hematuria was usually long,therefore pathogenic factors would enter the collateral.Activating blood circulation and removing blood stasis should be applied in the whole treatment process.Activating blood drugs were easily damage yin and blood,so they were often compatible with the drugs of soft liver and nourishing blood.Renal hematuria often mixed with damp heat and wind heat,which obstructed the kidney collaterals,so a little upraised and divergent drugs could restore the whole body qi and remove the pathogenic factors.

关 键 词：肾性血尿 治血三法 缪希雍 

分 类 号：R277.5[医药卫生—中医学]