名中医柳红芳基于“审因论治”思维论治高血压肾病经验  

Experience of famous Chinese doctor LIU Hongfang treating hypertensive nephropathy based on the “examine the cause for treatment” approach

作　　者：徐哲宇 宿家铭 董昭熙 郭燕 于欣卉 梅洁 蔡丰翼 臧欣悦 柳红芳[1] XU Zheyu;SU Jiaming;DONG Zhaoxi;GUO Yan;YU Xinhui;MEI Jie;CAI Fengyi;ZANG Xinyue;LIU Hongfang(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学东直门医院,北京100700

出　　处：《陕西中医》2024年第9期1253-1256,1261,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(81774273);北京市自然科学基金资助项目(7212180);北京中医药大学揭榜挂帅项目(2023-JYB-JBZD-023)。

摘　　要：高血压肾病是临床常见的慢性肾脏病并发症之一,柳红芳教授基于“审因论治”思维认为,本病的病因病机可从“审病因”“审证因”“审症因”三方面剖析。基于“审病因”思维,肝体失养、肾络痉硬为贯穿本病的核心病机;基于“审证因”思维,肝用失常、肝失调达为本病发生的重要基础;基于“审症因”思维,肾精亏虚、浊瘀互结为本病发生发展的必经阶段,并基于此提出“柔肝达木、助水生木、祛邪通络法”治疗高血压肾病,有着显著疗效,可为中医治疗高血压肾病提供新的思路与方法,值得临床参考与应用。Hypertensive nephropathy is one of the common complications of chronic kidney diseases in clinicalpractice.Professor Liu Hongfang,based on the“Examine the cause for treatment”approach,believes that the etiology and pathogenesis of this disease can be analyzed from three aspects:“Examine the disease causes of disease”,“Examine the syndrome cause”and“Examine the symptom cause”.Based on“Examine the causes of disease”these approaches,the core pathogenesis throughout the diseaseis the lack of malnourishment of in the liver and the rigidityspasmand hardness of the renal collaterals.Based on the“Examine the Syndrome Cause”approach,the abnormaldysfunction of the liver and the disorder of the liver’s failure to spread and regulate are the important basis fundations for the occurrence of the disease.Based on the“Examine the Symptom Cause”approach,the deficiency of kidney essence and the intermingling of turbidity and stasis are the necessary inevitable stages in the development of the disease.By utilizing the“Examine the cause for treatment”approach,proposing the treatment strategies asto softening the liver.To promote the generate wood.“assisting the water to nurish the wood”“eliminating pathogenic factors to unblock the collateral”to treat hypertensive nephropathy,which have significant therapeutic effects.These can provide new ideas and methods for the treatment of hypertensive nephropathy in traditional Chinese medicine and are worth clinical reference and application.to expel pathogenic factors,can provide new methods for the treatment of hypertensive nephropathy and are worthy of clinical reference and application.

关 键 词：审因论治 高血压肾病 柳红芳 名医经验 柔肝达木 助水生木 

分 类 号：R544.14[医药卫生—心血管疾病]