基于《金匮要略》温阳化气理论论治慢性肾衰竭  

Treatment of Chronic Kidney Failure Based on Theory of Warming Yang and Transforming Qi from Jin Gui Yao Lve

作　　者：张欣悦 王蒙 王琛[1,2] ZHANG Xinyue;WANG Meng;WANG Chen(Department of Nephrology,Shuguang Hospital of Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Traditional Chinese Medicine Institute of Kidney Disease,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属曙光医院肾病科,上海201203 [2]上海中医药大学中医肾病研究所,上海201203

出　　处：《新中医》2024年第15期40-44,共5页New Chinese Medicine

基　　金：国家自然科学基金面上项目(81973770);上海市浦东新区卫生系统重点学科群建设资助项目(PWZxq2017-07)。

摘　　要：慢性肾衰竭是临床常见病,其病程较长,迁延难愈,严重危害患者健康。《金匮要略》温阳化气理论认为慢性肾衰竭本虚标实,以阳虚为本,瘀浊为标,临床以温阳化气法为治则。《金匮要略》临证治疗慢性肾衰竭,采用温肾补气、温肺纳气等法以温煦脾肺、交通心肾、运化气机;温散寒湿、温利水饮等法以运化水湿、通利瘀浊、祛逐阴邪,使阳虚得复,正气充盈,脾肾相安,水湿瘀浊无所稽留,则病渐愈。Chronic kidney failure is a common clinical disease with a long course and difficult to cure,which is seriously endangering the health of patients.The theory of warming yang and transforming qi in the Jin Gui Yao Lve(Essentials from the Golden Cabinet)suggests that patients with chronic kidney failure have a deficiency at the root and excess at the branch,with yang deficiency as the root and phlegm turbidity as the branch;clinical treatment is based on warming yang and transforming qi.The clinical treatment of chronic kidney failure in the Jin Gui Yao Lve adopts methods such as warming the kidney and supplementing qi,and warming the lung to improve qi reception to warm the spleen and lung,restore interaction between the heart and the kidney,and improve qi mechanism;the methods of warming and dissipating cold and dampness,and promote urination by warming can be used to deal with water-dampness by transportation and transformation,resolve phlegm turbidity,and dispel yin pathogens;thus,yang deficiency can be improved,healthy qi will be filled up,the spleen and kidney can be in harmony,water-dampness and phlegm turbidity will be eliminated,and the patients will gradually recover.

关 键 词：慢性肾衰竭 温阳化气 《金匮要略》 

分 类 号：R692.5[医药卫生—泌尿科学]