陈以平“斡旋三焦”治疗特发性膜性肾病经验  

CHEN Yiping’s Experience in Treating Idiopathic Membranous Nephropathy with“Mediating Three-Jiao”

作　　者：邢巧凤 王琳[1] 陈以平(指导)[1] XING Qiaofeng;WANG Lin;CHEN Yiping(Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China)

机构地区：[1]上海中医药大学附属龙华医院,上海200032

出　　处：《山东中医杂志》2024年第9期1000-1005,共6页Shandong Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(编号:81273730);上海申康医院发展中心资助项目(编号:SHDC2020CR2048B);上海市中医药高层次人才引领计划[编号:ZY(2021-2023)-0403]。

摘　　要：特发性膜性肾病的根本病机与三焦气化失司密切相关。三焦不通则全身水液输布排泄障碍,痰湿、瘀血内生,病理产物堆积,郁久化热,进而导致肺、脾、肾三脏俱损。因而使三焦通在特发性膜性肾病的治疗中尤为重要,故陈以平教授通过“斡旋三焦”治疗本病,并创益气活血化湿专方。“斡旋三焦”通过益气活血化湿治疗大法实现三焦气机通畅。此法旨在通过补益肺脾肾之气、清热化湿、活血化瘀,促进气的推动、温煦、固摄及气化等功能的恢复,使三焦功能归常,从而促进疾病向愈。附验案1则。The fundamental pathogenesis of idiopathic membranous nephropathy is closely related to threejiao gasification disorder.If the three-jiao system is obstructed,the distribution and excretion of water and fluid throughout the body are impaired,phlegm and dampness,blood stasis,and accumulation of pathological products can lead to stagnation and heat transformation,leading to damage to the lungs,spleen,and kidneys.Therefore,making three-jiao unobstructed is particularly important in the treatment of idiopathic membranous nephropathy,and Professor CHEN Yiping treats idiopathic membranous nephropathy with“mediating threejiao”and creates a special formula for tonifying qi,promoting blood circulation,and resolving dampness.“Mediating three-jiao”achieves unobstructed three-jiao qi through tonifying qi,promoting blood circulation,and resolving dampness.The purpose of this method is to promote the promotion of qi,warmth,consolidation,and gasification by tonifying the qi of the lungs,spleen,and kidneys,clearing heat and dampness,promoting blood circulation and resolving stasis,so as to normalize the function of three-jiao and promote the healing of the disease.One test case is attached.

关 键 词：特发性膜性肾病 斡旋三焦 益气活血化湿 三焦气化 陈以平 

分 类 号：R277.523[医药卫生—中医学]