摘要
正虚肾亏、风伤肾络是慢性肾炎发生发展的关键所在,风邪分为外风、内风以及伏风,可夹杂瘀血、痰湿、热毒等贯穿整个病程。故在治疗中应灵活选用风药辨证施治。风药具有升、散、透、窜、燥、动等特性,且能祛风解表、熄风止痉、搜风剔络、引诸药入络、宣通人体脏腑经络、调畅气血津液。且风药多辛可畅通肾络,令邪去络通、气血通畅、脏腑强盛,不仅能直攻肾中风邪,还可以通过调节机体脏腑、气血、阴阳的功能发挥重要作用。临证可从“风伤肾络”的角度对本病进行辨证施治,以风药为基础灵活配伍,配合“辛通畅络”之法,风血同治,及时祛邪通络以缩短病程。治病求本、攻补兼施、辨清主次、分期论治,通过补肾健脾滋肝、益气养血使正气充盛,营卫调和,伏风自祛,减少复发率。
The key to the occurrence and development of chronic nephritis lies in the deficiency of the Kidney and Wind injuring to the Kidney collaterals.Wind evil factor can be divided into external Wind,internal Wind and latent Wind,which can be mixed with blood stasis,Phlegm and Dampness,Heat and Toxin,and other factors throughout the entire course of the disease.Therefore,in treatment,it is necessary to flexibly choose Wind dispelling medicine based on syndrome differentiation.Wind medicine has the characteristics of ascending,dispersing,penetrating,channeling,dry,and moving,and it can dispel Wind and relieve external symptoms,extinguish Wind and stop spasms,search for Wind and clear collateral,introduce various medicines into collateral,promote the circulation of human organs and meridians,and regulate Qi,blood,and body Fluid.Moreover,most of the wind medicines are pungent in taste and they can unblock the Kidney collaterals,promote the elimination of pathogenic factors,promote the circulation of Qi and blood,and strengthen the Zang and Fu.It can not only directly attack the Wind evil factor in Kidney,but also play an important role in regulating the functions of the body′s organs,Qi and blood as well as Yin and Yang.Clinical diagnosis and treatment of this disease can be approached from the perspective of"Wind injuring Kidney collaterals".Wind medicines can be flexibly combined with other medicines with the method of"Xin Tong Chang Luo"to treat both Wind and blood diseases.By timely dispelling evil factor and unblocking the meridian the course of the disease can be shorten.Therefore,treating the disease by seeking the root cause,implementing both attack and supplement,distinguishing the main and secondary factors,and treating it in stages are the important medicine methods.By tonifying the Kidney,strengthening the Spleen,nourishing the Liver,supplementing Qi and nourishing blood,the Zheng Qi can be enriched and the nourishing and defending functions are coordinated and eventually the latent Wind can be removed,whic
作者
庞连鹏
杜雨芃
林燕
PANG Lianpeng;DU Yupeng;LIN Yan(The First Affiliated Hospital to Tianjin University of Traditional Chinese Medicine/National Clinical Research Center of Traditional Chinese Medicine Acupuncture and Moxibustion,Tianjin China 300382;Tianjin Medical University,Tianjin China 300070)
出处
《中医学报》
2024年第1期157-162,共6页
Acta Chinese Medicine
基金
国家自然科学基金面上项目(81373609)
国家中医药管理局第四批全国中医临床优秀人才研修项目[国中医药人教发(2017)124号]
国家中医药管理局曹式丽全国名老中医药专家传承工作室建设项目[国中医药人教函(2012)149号]。
关键词
慢性肾小球肾炎
“风伤肾络”
风邪
风药
曹式丽
chronic glomerulonephritis
"Wind injuring Kidney collaterals"
Wind evil
Wind dispelling medicine
Cao Shili
