师承薛伯寿教授经验以三焦辨证指导糖尿病肾病治疗体会

Professor XUE Boshou’s experience guides the treatment of diabetic nephropathy with the method of sanjiao syndrome differentiation

关键词:  三焦辨证  慢性肾脏病  糖尿病肾病  薛伯寿

Key words:  sanjiao syndrome differentiation  chronic kidney disease  diabetic nephropathy  XUE Boshou

摘要:

国医大师薛伯寿教授拜中医名家蒲辅周为师，除继承蒲辅周先生治疗外感热病经验外，还发挥蒲辅周先生畅气血、调升降法则治疗内科杂病，同时注重三焦通调，分期论治。作者通过整理王耀光教授跟随薛教授学习笔记，总结薛教授辨证治疗慢性肾脏病的临床经验。文章以温病学家吴鞠通三焦辨证为指导，结合蒲辅周先生及薛教授治疗肾炎的经验总结，从病因病机、辨证思路、推荐方药等方面对糖尿病肾病进行详细阐释，以期阐释薛伯寿教授用温病理论辨治内科杂病的经验。

Abstract:

Chinese medicine master Professor XUE Boshou worshiped Chinese medicine master PU Fuzhou as a tutor. He has his own thinking,not only inheriting PU Fuzhou's exogenous fever treatment experience,but also foucus on the circulation of qi and blood and the regulation of qi. Besides,XUE Boshou pays attention to the sanjiao dynamic equilibrium and the treatment based on different stages. Through learning from his teachers,professor WANG Yaoguang applied XUE Boshou's thinking based on syndrome differentiation to chronic kidney disease. In this paper,based on the syndrome differentiation of WU Jutong's sanjiao syndrome,combined with the experience of PU Fuzhou and XUE Boshou in the treatment of nephritis,the diabetic nephropathy was explained in detail from the aspects of etiology,pathogenesis,syndrome differentiation and prescriptions,so as to explain XUE Boshou's experience in the treatment of warm diseases in internal medicine from this perspective.