基于“损者温之,逸者行之”理论探讨肾性血尿的病机及治疗  

Discussion on the pathogenesis and treatment of renal hematuria based on the theory of"warming the injured and activating the relaxed"

作　　者：刘洋 郭璐萱 郝娜[1] Liu Yang;Guo Luxuan;Hao Na(The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院国家中医针灸临床医学研究中心,天津300381

出　　处：《国际中医中药杂志》2023年第9期1070-1074,共5页International Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(81904141);湖北陈孝平科技发展基金会2022年度免疫性疾病研究槐杞黄专项基金(CXPJJH122003-09);人人享有肾脏健康-面向疫情下中老年慢性病患者系列科普宣传项目(22KPHDRC00040)。

摘　　要：基于"损者温之,逸者行之"理论探讨肾性血尿的病机和治疗方法。肾性血尿的病机主要为脾肾亏虚、血瘀气阻、风邪内窜。笔者提出,"损者温之,逸者行之"可作为肾性血尿的治疗总纲,并予培补脾肾、活血祛风之法,温补脾肾以恢复脏腑之气的固摄,活血化瘀则祛除血溢脉外之瘀血,祛除风邪则防止精关扰动。在遵循辨证论治的同时,强调扶正祛邪兼顾,并根据脏腑亏虚和病邪留滞的程度辨证施治,同时列举相关的治疗药物,为中医药治疗肾性血尿提供新思路、新方法。Based on the"warming the injured and activating the relaxed"theory,this article explored the pathogenesis and treatment of renal hematuria.The pathogenesis of renal hematuria mainly lies in the deficiency of spleen and kidney,blood stasis and qi obstruction,and the internal channeling of pathogenic wind.The author put forward that"warming the injured and activating the relaxed"as the general treatment principle of renal hematuria.In clinical practice,the main treatment methods should be to cultivate and supplement the spleen and kidney,promote blood circulation and expel wind,warm and supplement the spleen and kidney to restore the fixation of the qi of the viscera,promote blood circulation and remove blood stasis to remove the blood stasis outside the blood overflow vessels,and eliminate pathogenic wind to prevent and stop the disturbance of Jingguan.In accordance with the treatment of syndrome differentiation,it emphasized both nourishing and dispelling pathogenic factors,and according to the degree of deficiency of zang-fu organs and the retention of pathogenic factors,and listed the related therapeutic drugs,which provided a new idea and method for the clinical application of TCM in the treatment of renal hematuria.

关 键 词：血尿 肾性血尿 损者温之 逸者行之 温补脾肾 活血化瘀 理论探讨 

分 类 号：R277.5[医药卫生—中医学]