山东中医杂志2025，Vol.44Issue(9)：964-969,974,7.DOI:10.16295/j.cnki.0257-358x.2025.09.006
解析"肾者胃之关"及其在水肿治疗中的应用
Analysis of"The Kidney is the Gateway of the Stomach"and Its Application in Treatment of Edema
摘要
Abstract
"The kidney is the gateway of the stomach"is recorded in the Huangdi's Internal Classic,which is a classic text guiding the treatment of edema.By interpreting the meaning of the character"guan"and integrating it with the kidney's function of storing essence,the article holds that impaired containment of essence by the kidney and the subsequent loss of essential qi constitute the central pathogenesis of edema.Qi transformation is a highly generalized description of the physiological functions of the kidney.The material basis of qi transformation is kidney essence.There is a mutually reinforcing relationship between the stomach and the kidney in terms of congenital and acquired essences.Only when the kidney essence is sufficient can qi be transformed and water metabo-lism be promoted.Based on the understanding of the classic text"The kidney is the gateway of the stomach",three treatment methods for edema are pro-posed:strengthening the kidney to astringe essence,warming the kidney to transform qi,and regulating yin and yang.The medical cases of ancient and modern famous doctors are used as evidence to provide new ideas for the clinical treatment of edema.关键词
肾者胃之关/闭藏/精气/水肿/气化Key words
The kidney is the gateway of the stomach/hiding and storing/essential qi/edema/qi transformation分类
医药卫生引用本文复制引用
高圣柠,任美芳,陈素枝,袁国栋,檀金川..解析"肾者胃之关"及其在水肿治疗中的应用[J].山东中医杂志,2025,44(9):964-969,974,7.基金项目
河北中医药大学研究生创新项目(编号:XCXZZSS2024028) （编号:XCXZZSS2024028）
河北省自然科学基金项目(编号:H2023423086) （编号:H2023423086）
河北省政府资助临床医学优秀人才培养项目(编号:ZF2024165) （编号:ZF2024165）
