基于肾司督任冲论治妊娠期慢性肾脏病  

Treatment of Chronic Kidney Disease in Pregnancy Based on Kidney Dominating Du,Ren and Chong Meridians

作　　者：王世鑫 贠捷[2] 代丽娟[2] 宋立群[2] WANG Shixin;YUN Jie;DAI Lijuan;SONG Liqun(Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang China 150040;The First Affiliated Hospital to Heilongjiang University of Traditional Chinese Medicine,Harbin Heilongjiang China 150040)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医学报》2025年第5期986-990,共5页Acta Chinese Medicine

基　　金：宋立群全国名老中医药专家传承工作室建设项目{国中医药人教函〔2022〕75号};第七批全国老中医药专家学术经验继承工作继承人项目{国中医药人教函〔2022〕76号};黑龙江省博士后科研启动金项目(LBH-Q21043)。

摘　　要：慢性肾脏病的病因病机为脾肾亏虚,湿浊瘀内阻。女子妊娠期间,胞宫发生相应的生理改变,督脉、任脉、冲脉(简称督任冲)三脉根于胞宫又滋养胞宫,与女子胞宫联系更为密切。从督任冲的角度细查病机可知,妊娠期慢性肾脏病的发病当责之于督脉不举,阳气不通;冲任空虚,湿浊泛溢;冲脉失和,瘀血内阻。督任冲为奇经八脉中有着统领人体气血盈亏与阴阳升降出入的重要作用,肾与督任冲有着十分紧密的关联。从一脏三脉的角度出发,临证治疗妊娠期慢性肾脏病时应分期论治,若患者未孕则宜补肾通督、调补冲任;孕期宜益肾养胎、提督导任,同调肝脾之枢;产期宜固肾养元、通冲化瘀。The pathogenesis of chronic kidney disease in Chinese medicine is Spleen and Kidney deficiency and internal obstruction of Dampness,Turbidity and stasis.During pregnancy,the corresponding physiological changes occurred in the uterine cell.The three meridians of Du,Ren and Chong are rooted in the uterine cell and nourish the uterine cell and are more closely related to the female uterine cell.Studying from the perspective of Du,Ren and Chong,it can be seen that the onset of chronic kidney disease in pregnancy is attributed to the failure of the Du meridian induced Yang Qi stagnation as well as the disharmony of the Chong and Ren meridians induced overflow of Dampness and Turbidity,and the disharmony of the Chong meridian induced the internal obstruction of blood stasis.The Du,Ren and Chong meridians play the important role of leading the body′s qi and blood surplus and deficit as well as Yin and Yang activities.There is a very close connection between Kidney and the Du,Ren and Chong meridians.From the perspective of one Zang and three meridians like this,the treatment of chronic kidney disease in pregnancy should be staged.If the patient is not pregnant,it is advisable to tonify the Kidney,dredge the Du meridian and tonify the Chong and Ren meridian;during pregnancy,it is advisable to benefit the Kidney and nourish the fetus,promote the Du meridian and Ren meridian and regulate the pivot of the Liver and the Spleen;and during perinatal period,it is advisable to consolidate the Kidney and nourish the Yuan Qi,promote the Chong and Ren meridian to dredge Chong meridian and eliminate blood stasis.

关 键 词：妊娠期慢性肾脏病 肾司督任冲 督脉 任脉 冲脉 

分 类 号：R271.41[医药卫生—中医妇科学]