中国中医药信息杂志2025，Vol.32Issue(7)：176-179,4.DOI:10.19879/j.cnki.1005-5304.202502101
基于"火与元气不两立"探讨Ⅳ型心肾综合征分期辨治
Exploration on the Staged Treatment of Type Ⅳ Cardiorenal Syndrome Based on the Theory of"Yin-pathogenic Fire and Primordial Qi are Opposites"
摘要
Abstract
Type Ⅳ cardiorenal syndrome(CRS)is a subtype of CRS characterized by cardiac structural damage and/or functional decline secondary to chronic kidney disease.Clinically,it often manifests as fatigue,shortness of breath,edema,oliguria,and difficulty lying flat at night,which align with the TCM pattern of"deficiency of primordial qi and excess of yin-pathogenic fire".Li Dongyuan proposed the theory that"yin-pathogenic fire and primordial qi are opposites",emphasizing the dynamic relationship of"mutual growth and decline"between primordial qi and yin fire.From this perspective,the development and progression of Type Ⅳ CRS are believed to correspond to the fluctuations in the balance of primordial qi and yin-pathogenic fire.Based on this theory,the core pathogenesis of Type Ⅳ CRS is summarized as"imbalance between qi and fire",where"deficiency of primordial qi"is the root cause,often attributed to damage to the heart,spleen,and kidney,while"exuberance of yin-pathogenic fire"represents the pathological manifestation.In clinical practice,the treatment should focus on reinforcing primordial qi and subduing yin-pathogenic fire,with tailored approaches according to the stages of disease progression.In the early stage,when primordial qi lacks a foundation for generation and yin-pathogenic fire begins to emerge,the treatment should aim to consolidate the root of primordial qi and suppress the budding of yin-pathogenic fire.In the middle stage,when primordial qi is insufficiently produced and yin-pathogenic fire becomes predominant,the treatment should focus on nourishing the source of primordial qi and curbing the exuberance of yin-pathogenic fire.In the late stage,when primordial qi becomes dispersed and yin-pathogenic fire is unconstrained,the treatment should prioritize consolidating the foundation of primordial qi and restraining the chaotic movement of yin-pathogenic fire.关键词
Ⅳ型心肾综合征/心/脾/肾/元气/阴火Key words
type Ⅳ cardiorenal syndrome/heart/spleen/kidney/primordial qi/yin-pathogenic fire分类
医药卫生引用本文复制引用
杨运劼,丘余良,李鹏飞,阮诗玮,王建挺..基于"火与元气不两立"探讨Ⅳ型心肾综合征分期辨治[J].中国中医药信息杂志,2025,32(7):176-179,4.基金项目
阮诗玮全国名老中医药专家传承工作室建设项目(2022年) （2022年）
福建省自然科学基金(2024J01762、2024J01769) （2024J01762、2024J01769）
福建中医药大学附属人民医院中医临床优秀人才研修培养项目(2023年) （2023年）
福建中医药大学附属人民医院第二批科研团队建设项目(2023年) （2023年）
