许家松辨治慢性肾病舌诊经验  

Professor XU Jiasong’s Experience in Tongue Diagnosis of Syndrome Differentiation and Treatment of Chronic Kidney Disease

作　　者：杨丛旭[1] 王耀巍 王新慧 许家松(指导) YANG Congxu;WANG Yaowei;WANG Xinhui;XU Jiasong(Department of Nephrology,Xiyuan Hospital,Chinese Academy of Chinese Medical Sciences,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院肾病科,北京100091

出　　处：《山东中医杂志》2024年第9期921-925,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81960852)。

摘　　要：介绍许家松教授运用温病学舌诊理论,结合“辨证论治五步法”辨治慢性肾病的经验。许师从“整体恒动观”的中医学指导思想出发,以温病学辨舌法中三焦脏腑定位、正邪关系等内容为理论基础,以方药中先生“辨证论治五步法”为临床诊疗思路,认为舌象的观察要以整体到局部为顺序,重视舌象在治疗前后的对比,总结舌象动态变化,将舌象作为慢性肾病中医临床上辨证辨病、诊疗效果、判断预后的重要客观证据之一,并重视其在治则治法选择上起到的关键作用。This paper presents Professor XU Jiasong’s experience in treating chronic kidney disease through the application of tongue diagnosis for warm diseases and the integration of the“five-step method of syndrome differentiation”.Grounded in the guiding principles of traditional Chinese medicine,specifically the“holistic view of constant motion”,and drawing on the theoretical framework of sanjiao-zangfu viscera positioning and the relationship between the healthy qi and pathogenic factors in tongue differentiation in warm diseases,Mentor XU emphasizes a clinical diagnostic and treatment approach centered on the“five-step method of syndrome differentiation”,which was put forward by Master FANG Yaozhong.He advocates for a comprehensive observation of tongue images,emphasizing comparisons before and after treatment to capture dynamic changes.The tongue image is considered crucial objective evidence for clinical syndrome differentiation,disease diagnosis,treatment effectiveness,and prognosis in chronic kidney disease,underscoring its pivotal role in guiding treatment selection.

关 键 词：舌诊 许家松 慢性肾病 温病学舌诊 辨证论治五步法 

分 类 号：R241.25[医药卫生—中医诊断学] R277.52[医药卫生—中医临床基础]