山东中医杂志2025，Vol.44Issue(5)：489-492,509,5.DOI:10.16295/j.cnki.0257-358x.2025.05.001
余仁欢运用桂枝甘草龙骨牡蛎汤加减治疗慢性肾脏病合并情志异常经验
Professor YU Renhuan's Experience of Using Guizhi Gancao Longgu Muli Decoction(桂枝甘草龙骨牡蛎汤)in Treating Chronic Kidney Disease Complicated with Emotional Disorders
摘要
Abstract
Chronic kidney disease(CKD)is characterized by a poor prognosis and a long course.Moreover,patients with end-stage renal disease require expensive renal replacement therapy to sustain their lives.Therefore,most CKD patients endure heavy psycho-logical and economic burdens for a long time,and thus concurrently develop emotional disorders.Professor YU Renhuan proposed that the main pathogenesis of CKD complicated with emotional disorders is depression caused by kidney deficiency,including restlessness caused by deficiency of kidney yin resulting in fire without containment,fear caused by deficiency of kidney yang resulting in will without storage,and depression caused by deficiency of kidney qi resulting in qi without support,etc.Guizhi Gancao Longgu Muli Decoction(桂枝甘草龙骨牡蛎汤)has the efficacy of activating yang,restraining yang,and subduing yang to calm the mind.It can be used to treat restlessness caused by the disturbance of the mind and spirit by yang-pathogen due to kidney deficiency.Based on this formula,Professor YU treats CKD complicated with emotional disorders by adding prescriptions or drugs with efficacy of regulating the heart and calming the mind,warming yang and strengthening the spleen,and soothing the liver and relieving depression according to different syndrome types,which has achieved favorable therapeutic outcomes.One proved case is attached.关键词
慢性肾脏病/情志异常/桂枝甘草龙骨牡蛎汤/调心安神/温阳健脾/疏肝解郁/余仁欢Key words
chronic kidney disease/emotional disorders/Guizhi Gancao Longgu Muli Decoction/regulating the heart and calming the mind/warming yang and strengthening the spleen/soothing the liver and relieving depression/YU Renhuan分类
中医学引用本文复制引用
王文茹,杨嘉仪,展婧怡,詹添,闫蕾,陈瑶,梁莹..余仁欢运用桂枝甘草龙骨牡蛎汤加减治疗慢性肾脏病合并情志异常经验[J].山东中医杂志,2025,44(5):489-492,509,5.基金项目
中国中医科学院西苑医院余仁欢名老中医经验传承与创新研究项目(编号:XYZX0101-22) （编号:XYZX0101-22）
中国中医科学院科技创新工程重大攻关项目(编号:CI2021A01208) （编号:CI2021A01208）
国家自然科学基金面上项目(编号:82174362) （编号:82174362）
