摘要
从古代哲学视角的形、气、神内涵,阐述中医学形气神一体化生命观。形气神间的动态协调失衡是慢性肾脏病发生的内在原因,本文基于此阐述慢性肾脏病形气神同调的临床辨治理念。调形为先,旨在调理病体,调有形之形以治疗慢性肾脏病的症状及体征,调无形之形以滋化源、截病势,体现朴素的辨病辨证观。调气为要,慢性肾脏病1~2期重在调整肺、脾、肝、肾气化功能,3~5期重在蠲除浊毒以复气化,蕴含一元的恒动变化观。调神为制,是以药物调神和八段锦导引等非药物调神,共同优化慢性肾脏病的慢病管理,内核为御摄形气的整体观。慢性肾脏病形气神同调,以延缓病情进展,探索慢性肾脏病的临床治疗新思维。
From the perspective of body,qi,and spirit in ancient philosophy,this article elaborates on the integrated life concept of body,qi,and spirit in traditional Chinese medicine.The dynamic coordination imbalance among the body,qi,and spirit is the inherent cause of the occurrence of chronic kidney disease,and based on this,the clinical differentiation and treatment concept of chronic kidney disease with the harmony of body,qi,and spirit is elucidated.Taking body adjustment as the first priority aims to regulate the sick organisms,regulating the tangible body to treat the symptoms and signs of chronic kidney disease,regulating the intangible body to nourish the source,cutting off the disease tendency,and reflecting the simple concept of disease differentiation and syndrome differentiation.Regulating qi is essential,in the stages 1-2 of chronic kidney disease,the focus is on regulating the qi transformation of the lung,spleen,liver,and kidney,while in the stages 3-5,the focus is on eliminating turbid toxins to restore qi transformation,containing a unified concept of constant movement and change.The principle of regulating the spirit is to optimize the management of chronic kidney disease through pharmacological method and non-pharmacological method such as baduanjin, and the core is aholistic view of regulating the body and qi. The purpose of the simultaneous regulation of body, qi, andspirit is to explore new clinical treatments for chronic kidney disease, which can help delay theprogression of the disease.
作者
任雪雷
杨丽平
王宇阳
冒慧敏
马放
汤文丽
张月
占永立
REN Xuelei;YANG Liping;WANG Yuyang;MAO Huimin;MA Fang;TANG Wenli;ZHANG Yue;ZHAN Yongli(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Southern District of Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 102600,China)
出处
《北京中医药大学学报》
CAS
CSCD
北大核心
2023年第8期1094-1099,共6页
Journal of Beijing University of Traditional Chinese Medicine
基金
国家自然科学基金项目(No.82074393,No.82204905,No.82205094)
中央级科研院所公益性基金项目(No.ZZ13-YQ-025)~~。
关键词
形气神一体化
形气神同调
慢性肾脏病
蛋白尿
八段锦
integrating body,qi,and spirit
simultaneous regulation of body,qi,and spirit
chronic kidney disease
proteinuria
baduanjin
