中医时间医学在肾系疾病中的应用研究  

Study on the Application of TCM Chronomedicine in Renal Disease

作　　者：李显红[1] 陈刚毅[1] LI Xianhong;CHEN Gangyi(The First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学第一附属医院,广东广州510405

出　　处：《西部中医药》2023年第7期75-78,共4页Western Journal of Traditional Chinese Medicine

基　　金：国家重点研发计划中医药现代化研究重点专项(2018YFCI704706);广东省医学科学技术研究基金资助项目(A2017153);广州中医药大学第一附属医院“创新强院”二期科研系列项目(2019ZWB13);广州中医药大学第一附属医院国家中医药传承创新中心科研专项(2022QN17)。

摘　　要：从肾系疾病“日节律”及“肾应冬”四季节律的中医时间医学研究两方面入手,探讨中医时间医学研究在肾系疾病中的应用,指出中医时间医学是在五运六气、子午流注、月相等理论的基础上通过中医学理论认识疾病、指导临床诊治、预防和养生的一门科学,目前中医时间医学在肾系疾病方面的相关研究可揭示肾病的发生日节律,即卯时高发,以及季节节律,即冬季高发;同时肾系疾病患者因五运六气影响在出生时辰、日期及发病年份上有一定分布规律,而依据中医时间医学理论的择时给药治疗肾系疾病疗效更显著;今后可通过了解中医时间医学各组成部分间的相互关系及对肾系疾病的生理病理、转归预后的影响,为中医药防治肾系疾病提供新思路、新依据。TCM chronomedicine applied in renal diseases is discussed from"circadian rhythm"of renal disease and the study on the four seasons rhythm of"kidney corresponding to winter",TCM chronomedicine established based on five movements and six climates,midnight-noon and ebb-flow theory and lunar phase,is a study to understand the disease,guide clinical diagnosis and treatment,prevention and health care by TCM theory,at present,the relevant studies of TCM chronomedicine in renal diseases could reveal the circadian rhythm of the occurrence of renal disease,namely,frequently occurred during Maoshi(卯时,the period of the day from 5 am to 7 am),and the four seasons rhythm,that is,high-rate occurrence in winter;moreover,the patients suffering renal disease presented a certain distribution pattern in the time of birth,the date and the onset year affected by five movements and six climates,and time-selective administration based on TCM chronomedicine could obtain more significant clinical effects in the treatment of renal disease;in the future,new thinking and reference could be produced for TCM therapy in the prevention and treatment of renal disease by surveying the mutual relationship between different components of TCM chronomedicine,as well as its influences on the physiology and pathology,the outcome and prognosis of renal diseases.

关 键 词：肾系疾病 生物节律 中医时间医学 天人相应 

分 类 号：R256.5[医药卫生—中医内科学]