基于五脏一体观从肺论治肾性水肿  

Treatment of Renal Edema from Lung Based on Holism of Five Zang-viscera

作　　者：赵怡 米杰[2] ZHAO Yi;MI Jie(Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学附属医院,山东济南250011

出　　处：《山东中医杂志》2023年第10期1046-1049,1055,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：山东省自然科学基金重大基础项目(编号:ZR2019ZD23);山东省中医经典名方协同创新中心(编号:2019KFY05)。

摘　　要：水肿是肾脏病的常见症状,肾性水肿的本质即体内水液代谢失常,发病的基本病机为肺失通调、脾失转输、肾失开阖、三焦气化不利,故不能以单因素解释肾性水肿之全貌,且其病情反复、迁延难愈,单从肾治之疗效不显。基于“五脏一体观”,从肺与肾的关系、肺与肾性水肿发病的关系及现代研究等角度展开论述,强调辨证论治,临证首分虚实,实者予宣肺利水法、清肺解毒法、开郁行水法,虚者予补肺益肾法、温肺化水法,本虚和标实兼而有者,标本同治。Edema is a common symptom of kidney disease.The essence of renal edema is the abnormal metabolism of water and fluid in the body.The basic pathogenesis of the disease is that the lung fails in ventilating and regulating,the spleen fails in transporting,the kidney fails in opening and closing and unfavorable gasification of the triple energizer.Therefore,the whole appearance of renal edema cannot be explained by a single factor.Edema usually occurs repeatedly and is difficult to heal.The curative effect of treatment from kidney alone is not significant.Based on the“holism of five zang-viscera”,this paper discusses the relationship between lung and kidney,the relationship between lung and renal edema and modern research.Clinically,it emphasizes syndrome differentiation and treatment,and the clinical syndrome is divided into deficiency and excess.The excess syndrome is given the methods of promoting lung and regulating water,clearing lung and detoxification,relieving stagnation and regulating water,and the deficiency syndrome is given the methods of tonifying lung and kidney,warming lung and transforming water.If there are both root deficiency and exterior excess,the symptoms and root causes should be treated together.

关 键 词：五脏一体观 肾性水肿 宣肺利水 清肺解毒 开郁行水 补肺益肾 温肺化水 

分 类 号：R273.01[医药卫生—中西医结合]