| 摘要: |
| 肾纤维化是慢性肾脏病发展为慢性肾衰竭关键原因,所以防治肾纤维化对于治疗慢性肾脏病具有重要意义。文章从中医角度,探讨了肾阳虚形成水瘀互结型肾纤维化的发病机理和诊治策略,确立了扶阳三法,主要为温肾通脉,疏导三焦、扶阳升阳,祛瘀通络、益火之源,阴中求阳。扶阳三法整体把握患者根本病机,根据肾纤维化病症特点和不同发展阶段采用不同手段,皆以扶阳为本,他法为辅,虚实兼顾。选方用药以法为纲,选取麻黄附子细辛汤、五苓散、升阳汤、金匮肾气丸等方进行加减化裁,随证治之。其方药法理体现了中医的整体观念,辨证论治的思维方式,值得同道学习借鉴。 |
| 关键词: 扶阳 肾纤维化 真武汤 |
| DOI：10.11656/j.issn.1672-1519.2024.01.10 |
| 分类号:R692 |
| 基金项目:王耀光天津市名中医传承工作室(883022); 王耀光全国名老中医药专家传承工作室(978022); 南开大学院级课题项目(63185021)。 |
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| “Fuyang method” treatment of kidney fibrosis of blood stasis and water interjunction type |
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LI Jiaqi1,2, WANG Yaoguang1,2
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1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
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| Abstract: |
| Renal fibrosis is the key reason for the progression of chronic kidney disease to chronic kidney failure,so the prevention and treatment of renal fibrosis is of great significance for the treatment of chronic kidney disease. In this paper,from the perspective of traditional Chinese medicine,the pathogenesis,diagnosis and treatment strategy of kidney fibrosis caused by the deficiency of kidney yang and the interjunction of water stasis were discussed,and the three methods of supporting yang were established. Mainly for warm the kidney through the veins,dredging the Sanjiao,helping yang to rise yang,remove blood stasis and dredging collages,the source of fire,seeking yang in yin. Three methods to grasp the fundamental pathogenesis of the patient,according to the characteristics of renal fibrosis and different stages of development of different means,are based on fuyang,other methods as a supplement,both virtual and real. The selected prescription drugs are Mahuang Fuzi Decoction,Wuling Powder,Shengyang Decoction,Jinkui Shenqi Pill,etc.,and are treated according to the syndrome. This reflects the overall concept of traditional Chinese medicine and the dialectical way of thinking,which is worth learning from. |
| Key words: fuyang renal fibrosis Zhenwu Decoction |
