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真武汤“通玄启肾,气化三焦”治疗肾性水肿探析 被引量:11

Analysis of Zhenwu Decoction in the Treatment of Renal Edema by "Clearing Xuan and Activating Kidney, Gasifying Triple Jiao"
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摘要 肾性水肿与玄府开阖、三焦气化功能密切相关。玄府与三焦均是气液运行的通道,玄府有内外之分,内、外玄府相互贯通,主要依赖三焦气机运行进而推动气液而营养全身。二者在结构上和功能上均为一个整体,任何一方功能异常,必定会导致另一方功能障碍。在肾性水肿发病过程中,关键病理因素在于水湿内停,病机主要责之玄府开阖逆乱、三焦气化失司。真武汤作为治疗肾性水肿的经典名方,探讨其以"通玄启肾、气化三焦"法治疗肾性水肿意义深远。 Renal edema is closely related to the opening and closing of Xuanfu and the gasification function of triple Jiao.Xuanfu and triple Jiao are both qi-liquid running channels.Xuanfu can be divided into internal and external ones, which are connected with each other.It mainly depends on the operation of qi movement of triple Jiao to promote qi-liquid and nourish the whole body.Both of them are a whole in structure and function.The abnormal function of either party will inevitably lead to the dysfunction of the other.In the pathogenesis of renal edema, the key pathological factor lies in the internal stop of water and dampness.The main pathogenesis is the chaos of Xuanfu opening and closing and the loss of division of triple Jiao gasification.Zhenwu Decoction is a classic prescription for the treatment of renal edema.It is of far-reaching significance to explore its method of "clearing Xuan and activating kidney, gasifying triple Jiao" in the treatment of renal edema.
作者 姜洪叶 李昕潼 邓秀敏 王佳喆 刘世巍 JIANG Hongye;LI Xintong;DENG Xiumin;WANG Jiazhe;LIU Shiwei(Graduate School of Beijing Universita of Chinese Medicine,Beijing China 100029;Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing China 100102;Tianjin Binhai New Area Chinese Medicine Hospital,Tianjin China 300451)
出处 《中医学报》 CAS 2022年第3期471-474,共4页 Acta Chinese Medicine
基金 国家自然科学基金面上项目(82074407) 首都卫生发展科研专项项目(202024162)。
关键词 肾性水肿 真武汤 通玄启肾 气化三焦 玄府 三焦 renal edema Zhenwu Decoction clearing Xuan and activating kidney gasifying triple Jiao Xuanfu Sanjiao
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