“少阳为枢”论治肾周围炎应用探析  

Application Analysis of"Shaoyang as the Pivot"in the Treatment of Perinephritis

作　　者：陈海敏 柳红芳[1] 周盈 蒋威 宿家铭 邱亚娇 张先慧[1] Chen Haimin;Liu Hongfang;Zhou Ying;Jiang Wei;Su Jiaming;Qiu Yajiao;Zhang Xianhui(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《中国中医急症》2023年第5期817-820,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(82004297)。

摘　　要：肾周围炎是发生在肾周围组织间隙的炎症,临床上予抗炎、退热、补液后症状可缓解,但易出现热势反复。中医药在治疗肾周围炎持续发热方面具有疗效明确且不易复发的优势。中医六经辨证本病病位归属少阳,症状表现属少阳,传变次序属少阳,其发生发展过程体现出少阳枢机不利的病机特点,治疗上应以和解少阳、调畅枢机为法,临床常用的代表方剂为经方小柴胡汤。Perinephritis is inflammation that occurs in the tissue space around the kidney,and the symptoms can be relieved after clinical anti-inflammatory,antipyretic,and fluid rehydration,but it is easy to have repeated heat.Traditional Chinese medicine has the advantage of having a clear efficacy and not easy to relapse in the treatment of persistent heat in perinephritis.The six classics of traditional Chinese medicine have identified that the disease belongs to Shaoyang,the symptoms are Shaoyang,and the order of transmission is Shaoyang,which reflects the unfavorable pathogenesis characteristics of"Shaoyang as the Pivot"in the process of occurrence and development,and the treatment should be based on the method of reconciling Shaoyang and regulating the pivot,and the representative formula commonly used in clinical practice is Xiaochaihu Decoction.

关 键 词：肾周围炎 少阳为枢 小柴胡汤 和解少阳 

分 类 号：R684.8[医药卫生—骨科学]