北京中医药大学学报2024，Vol.47Issue(8)：1049-1054,6.DOI:10.3969/j.issn.1006-2157.2024.08.003
肾络癥瘕辨证方法及其临床应用
Pattern differentiation methods and its clinical application of tangible or intangible abdominal masses of kidney collaterals
摘要
Abstract
The pattern differentiation method is the most representative part of the inheritance of the experience of renowned practitioners of traditional Chinese medicine,reflecting their clinical thinking characteristics. Among them,Professor LYU Renhe proposed and developed the theory of abdominal masses in the long-term diagnosis and treatment of kidney diseases. Based on his clinical experience,he formed the method of differentiation of Shenluozhengjia (tangible or intangible abdominal masses of kidney collaterals). This differentiation method is characterized by its simple and easy clinical application. Tangible or intangible abdominal masses of kidney collaterals refer to chronic kidney disease,which is based on the basic cause of kidney deficiency. External or internal pathogenic factors cannot be eliminated,and prolonged illness invades the kidney collaterals,causing pathological products,such as qi stagnation,blood stasis,phlegm dampness,heat toxin,and turbid toxin to stagnate in the kidney collaterals,resulting in damage to the kidney body and loss of kidney function. The basic pathogenesis is a deficiency of kidney qi and the formation of tangible or intangible abdominal masses of the kidney collaterals. During pattern differentiation,the type is determined by the deficiency,which is fixed,and the pattern is determined by the excess,which is constantly changing with the condition and can be combined. Furthermore,he summarized the dietary principles as having more essence and less coarseness,more milk and less meat,a phased diet,and the selection of the symptomatic diet. To inherit and improve the theory and clinical practice of the pattern differentiation theory of tangible or intangible abdominal masses of kidney collaterals,this article reviews and summarizes the unique pattern differentiation method of the kidney collateral pattern from the aspects of definition,theoretical origin,etiology and pathogenesis,differentiation and treatment,and regulation,providing a basis for forming suitable diagnosis and treatment method for clinical promotion.关键词
肾络癥瘕/辨证方法/慢性肾脏病/虚损劳衰/三型四候/八郁证Key words
tangible or intangible abdominal masses of kidney collaterals/pattern differentiation methods/chronic kidney disease/chronic,deficiency,and wane consumptive conditions/three main patterns and four secondary patterns/eight stagnation patterns分类
医药卫生引用本文复制引用
李雪,高菁,郑时静,彭博,王世长,赵鑫雨,周妍,李靖..肾络癥瘕辨证方法及其临床应用[J].北京中医药大学学报,2024,47(8):1049-1054,6.基金项目
首都卫生发展科研专项项目(No.首发2018-1-4192) （No.首发2018-1-4192）
北京中医药大学东直门医院科技创新专项(No.DZMKJCX-2023-016) Capital Health Development Research Project(No.SF2018-1-4192) （No.DZMKJCX-2023-016）
