中国医药科学2025，Vol.15Issue(19)：46-50,5.DOI:10.20116/j.issn2095-0616.2025.19.10
基于"从风论治"思想探讨"风药"在慢性肾脏病中的临床证治
Clinical treatment of chronic kidney disease based on the"treatment from wind theory"approach:a discussion on the application of"wind medicinals"
摘要
Abstract
Chronic kidney disease(CKD)exhibits high incidence and poor prognosis.Traditional Chinese Medicine(TCM)posits that CKD originates from spleen dysfunction in consolidation and kidney impairment in storage during early stages.Prolonged illness leads to kidney failure in qi transformation and spleen dysfunction in fluid metabolism,ultimately progressing to obstruction syndrome.This article summarizes pathogenic factors and theories such as"latent pathogens""kidney collaterals",and"kidney xuanfu"from the perspective of etiology and pathogenesis.It highlights that"wind medicinals"possess therapeutic effects including ventilating and expelling latent pathogens,unblocking meridians and entering collaterals,regulating the opening-closing of kidney xuanfu,and dispelling wind to dredge collaterals.The concept,classification,and clinical applications of"wind medicinals"are introduced,with examples of representative herbs demonstrating basic research achievements in inhibiting oxidative stress,renal fibrosis,and protecting renal function.Clinical experiences in treating common CKD subtypes-IgA nephropathy,diabetic nephropathy,and idiopathic membranous nephropathy-using the"treatment from wind theory"approach are summarized.Future research directions are proposed,emphasizing in-depth exploration of the"treatment from wind theory"philosophy and synergistic advantages of combining wind medicinals with other therapeutic agents to optimize treatment strategies.关键词
从风论治/慢性肾脏病/临床证治/风药/伏邪/肾络/肾玄府Key words
Treatment from wind theory/Chronic kidney disease/Clinical syndrome management/Wind medicinals/Latent pathogens/Kidney collaterals/Kidney xuanfu分类
医药卫生引用本文复制引用
王贤雅,赵树华,韩石誉,王韶明..基于"从风论治"思想探讨"风药"在慢性肾脏病中的临床证治[J].中国医药科学,2025,15(19):46-50,5.基金项目
国家中医药管理局第七批全国老中医药专家学术经验继承工作项目(吉中医药发[2022]49号). （吉中医药发[2022]49号）
