基于“肾苦燥,急食辛以润之”探讨慢性肾脏病相关瘙痒症的辨治思路  

Discussion on the treatment of chronic kidney disease-associated pruritus based on the principle of "kidney suffers from dryness and can be moistened by pungent drugs"

作　　者：周思宇 马晓彤 龚保文 Zhou Siyu;Ma Xiaotong;Gong Baowen(Master Degree Student of Grade 2021,Shantou Hospital of Traditional Chinese Medicine,Guangzhou University of Chinese Medicine,Shantou 515000,China;Nephrology Department,Shantou Hospital of Traditional Chinese Medicine,Guangzhou University of Chinese Medicine,Shantou 515000,China)

机构地区：[1]广州中医药大学附属汕头市中医医院,汕头515000 [2]广州中医药大学附属汕头市中医医院肾内科,汕头515000

出　　处：《国际中医中药杂志》2024年第8期967-971,共5页International Journal of Traditional Chinese Medicine

基　　金：广东省中医药局省级科研课题(20201331)。

摘　　要：基于"肾苦燥, 急食辛以润之"探讨慢性肾脏病相关瘙痒症(CKD-aP)的病机及治疗。认为CKD-aP始于肾气亏虚, 以湿浊、瘀血、寒、热、浊毒为标, 最终导致肾不运水, 发为"肾燥"。提示治疗CKD-aP应以"辛以润之"为核心, 根据疾病发展阶段及矛盾的主次, 分别采用辛温(热)宣散、辛寒(凉)宣泄的治法, 帮助恢复气血津液的正常输布运行, 从而促进疾病恢复。Based on the principle of"kidney suffers from dryness and can be moistened by pungent drugs",this article discussed the pathogenesis and treatment of chronic kidney disease-associated pruritus(CKD-aP),and believed that this disease begins with deficiency of kidney qi,and dampness,blood stasis,cold,heat,and turbid toxin are the symptoms,which ultimately leads to the kidney's inability to transport fluids,and develops into"dryness of kidney".It suggested that the treatment of CKD-aP should be"using pungent drugs to moisten"as the core,according to the stage of development of the disease and the contradiction of the primary and secondary,respectively,the use of pungency-warm(heat)declination,pungent-cold(cool)declination of the treatment,to help to restore the normal transmission of fluid operation,qi and blood,and promote fluids to reduce dryness,so as to promote the recovery of the disease.

关 键 词：肾病 慢性病 瘙痒症 皮肤疾病 肾苦燥 肾不运水 辛以润之 

分 类 号：R277.5[医药卫生—中医学]