医学研究与教育 ›› 2024, Vol. 41 ›› Issue (6): 26-31.DOI: 10.3969/j.issn.1674-490X.2024.06.004

• 河间学派研究 • 上一篇    下一篇

慢性肾功能衰竭从寒论治

马玉琛1,边媛媛2,翟芳3,张艳4,赵志勇5   

  1. 1.保定市中医院守真堂, 河北 保定 071000;
    2.保定市中医院肾病科, 河北 保定 071000;
    3.中国中医科学院广安门医院保定医院, 河北 保定 071000;
    4.中国中医科学院广安门医院保定医院肿瘤老年病科, 河北 保定 071000;
    5.解放军陆军第82集团军医院中医科, 河北 保定 071000
  • 收稿日期:2024-06-22 出版日期:2024-12-25 发布日期:2024-12-25
  • 作者简介:马玉琛(1950—),男,河北保定人,主任医师,教授,博士生导师,主要从事中医风湿、肿瘤、老年病诊疗。 E-mail: myc252@126.com

  • Received:2024-06-22 Online:2024-12-25 Published:2024-12-25

摘要: 目的 运用刘完素学术思想,指导中医药治疗。方法 学习刘完素《素问玄机原病式》“诸寒收引,皆属肾水”、亢害承制、阳热怫郁等论述,求本探源,解读发微,标向临床,归纳总结。结果 慢性肾功能衰竭因肾脏病变属中医癥积,异常升高的血肌酐属中医痰毒。癥积、痰毒为肾水亢盛,脾湿承而制之,寒兼湿化而致,依照“阳化气,阴成形”理论,统归阴寒之邪;阳气抗之,阳热怫郁,可有热的表现。治疗以攻邪为本,主要施以辛咸温燥之剂,祛寒散积软坚化痰;酌情辅以清热利下发汗降浊诸法。结论 慢性肾功能衰竭从寒论治具有充分的理论依据。

关键词: 慢性肾功能衰竭, 癥积, 痰毒, 阳热怫郁, 从寒论治

Abstract: Objective To improve the therapeutic methods of traditional chinese medicine(TCM)based on LIU Wansu's academic theory. Methods Learning and summarizing the perspectives in Suwen Xuanji Yuanbingshi written by LIU Wansu,including “Zhuhan Shouyin,Jieshu Shenshui”,“Kanghai Chengzhi” and “Yangre Fuyu”. Results Chronic renal failure corresponding Zhengji in TCM, and the elevated creatinine corresponding Tandu in TCM were caused by Shenshui Kangyi.With the Pi Ke Shen, Shi and Hanxie band together. According to the theory of “Yang Huaqi, Yin Chengxing”, they are both Yinxie. When Yangre Fuyu,the body is hot. Gongxie is the fundamental principle of treatment. Choose the traditional Chinese medicine that belongs to Xin, Xian, Wen, Zao. At the same time, the following methods can be combined: Qingre, Lixia, Fahan, Jiangzhuo. Conclusion There is sufficient theoretical basis for the treatment of chronic renal insufficiency from Han.

Key words: chronic renal insufficiency, Zhengji, Tandu, Yang Re Fuyu, treatment from Han

中图分类号: