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基于"血不利则为水"论治肾劳病水肿

杨璧英 刘相 邓紫薇 魏文璇 刘良 何泽云

南京中医药大学学报2025,Vol.41Issue(9):1127-1133,7.
南京中医药大学学报2025,Vol.41Issue(9):1127-1133,7.DOI:10.14148/j.issn.1672-0482.2025.1127

基于"血不利则为水"论治肾劳病水肿

Treating Edema in Kidney Consumption Disorder Based on the Theory of"Blood Stasis Inducing Water"

杨璧英 1刘相 1邓紫薇 1魏文璇 1刘良 2何泽云3

作者信息

  • 1. 湖南中医药大学第一中医临床学院,湖南长沙 410208
  • 2. 广州中医药大学中医证候全国重点实验室,广东 广州 510000
  • 3. 湖南中医药大学第一附属医院,湖南长沙 410021
  • 折叠

摘要

Abstract

Guided by Zhang Zhongjing's axiom that"blood stasis induces water",this study develops stage-specific treatment strategies for edema in Kidney Consumption Disorder by examining its four-stage pathogenic progression:Sluggish Flow → Stagnant Obstruction → Depressed Accumulation → Stasis Congelation.We propose an integrated approach that reinforces the root by warming the kidney and replenishing essence,while addressing the branch by activating blood circulation and promoting diuresis.Stage-specific interventions include:for the Sluggish Flow Phase,warming and tonifying kidney Yang combined with unblocking Yang to promote uri-nation;for the Stagnant Obstruction Phase,warming the kidney and replenishing essence supported by activating blood circulation and freeing the collateral channels;for the Depressed Accumulation Phase,quickening blood and resolving stasis,regulating Qi and trans-forming turbidity,along with warming the kidney and strengthening essence;and for the Stasis Congelation Phase,expelling stagnant accumulations while simultaneously regulating essence and blood.This framework advances novel pattern-determined strategies for Kid-ney Consumption edema management.

关键词

血不利则为水/肾劳病/水肿/温肾益精/活血利水/分期治疗

Key words

blood stasis inducing water/Kidney Consumption Disorder/edema/warming the kidney and replenishing essence/acti-vating blood circulation and promoting diuresis/staged treatment

分类

医药卫生

引用本文复制引用

杨璧英,刘相,邓紫薇,魏文璇,刘良,何泽云..基于"血不利则为水"论治肾劳病水肿[J].南京中医药大学学报,2025,41(9):1127-1133,7.

基金项目

湖南省卫生健康委卫生科研课题(W20243266) (W20243266)

湖南中医药大学研究生创新课题(2024CX020) (2024CX020)

湖南省自然科学基金项目(2023JJ30473) (2023JJ30473)

湖南省中医重点专科(czxm-sbk-2023001) (czxm-sbk-2023001)

刘良院士工作站-湖南省中西医结合肾病研究中心建设项目 ()

南京中医药大学学报

OA北大核心

1672-0482

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