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Exploring the clinical application of classical prescriptions in chronic kidney disease based on the theory of “kidney governing qi transformation”
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DOI   10.11656/j.issn.1672-1519.2023.04.09
Key Words   kidney governing qi transformation;classical prescription;chronic kidney disease
Author NameAffiliationE-mail
WANG Yuhan First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China  
LIU Huan First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China  
ZHU Changhao First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China  
YANG Siqi First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China  
ZHANG Jing First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China  
WANG Yaoguang First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China wangyaoguang1012@126.com 
Abstract
    The meaning of "Kidney governing qi transformation" covers the physiological functions of the kidney, which involves the distribution of phase fire, water-liquid metabolism, the rise and fall of qi and many organs of the lung, spleen, stomach, sanjiao and bladder. It is a high summary of the theory of functional activity of qi of Chinese medicine. In this paper, we analyze the relationship between the kidney, the sanjiao and the bladder from the perspective of the kidney governing qi transformation. We believe that "loss of qi transformation in the kidney" is the core pathogenesis of chronic kidney disease, and point out the intrinsic connection between "loss of qi transformation in the kidney" and the pathological derivation of chronic kidney disease. Based on the theory of "kidney governing qi transformation", we discussed the application of classical prescriptions in the treatise on typhoid miscellaneous diseases in chronic kidney disease, and proposed that combining warmth and purgation and draining the sanjiao to restore the function of "kidney governing qi transformation" is an effective strategy to improve chronic kidney disease.

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