“水中疏木”法治疗高血压肾病学术思想述要  

Summary of academic thoughts of treating hypertensive nephropathy by 'unchoking wood in water' method

作　　者：狄炳男 王珍[1] 艾思南 郑慧娟 王耀献[1,2] DI Bingnan;WANG Zhen;AI Sinan;ZHENG Huijuan;WANG Yaoxian(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]河南中医药大学,郑州450000

出　　处：《中华中医药杂志》2025年第1期222-225,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：中医药传承与创新“百千万”人才工程(王耀献岐黄学者——国家中医药领军人才支持计划)(No.国中医药人教发[2018]12号)。

摘　　要：高血压肾病已成为终末期肾病的主要病因之一。中医学认为,其基本病机为肝肾亏虚,肝阳上亢,多治以滋阴潜阳。王耀献教授在此基础上,基于肾络癥瘕聚散消长理论,结合高血压肾病临床表现及微观病理变化,提出阴亏津燥、五郁内阻的核心病机,并采用“水中疏木”法进行治疗,强调调理全身气机、恢复气血津液正常运行的重要性,具有一定的借鉴意义。Hypertensive nephropathy has become one of the main causes of end-stage renal disease(ESRD).Traditional Chinese medicine believes that its basic pathogenesis is deficiency of liver and kidney,liver-yang hyperactivity,and more treatment to nourish yin and subdue yang.On this basis,professor WANG Yaoxian proposed the core pathogenesis of yin deficiency and fluid dryness and five internal obstructions based on the theory of the accumulation and growth of kidney colli syndrome,combined with the clinical manifestations and microscopic pathological changes of hypertensive nephropathy,and adopted the method of 'unchoking wood in water' for treatment,emphasizing the importance of regulating the whole body qi and restoring the normal operation of qi,blood and body fluid,which has certain reference significance.

关 键 词：高血压肾病 水中疏木 阴亏津燥 五郁内阻 调畅气机 肾络癥瘕 

分 类 号：R259[医药卫生—中西医结合] R277.5[医药卫生—中医内科学]