浙江中医药大学学报2025，Vol.49Issue(10)：1288-1293,6.DOI:10.16466/j.issn1005-5509.2025.10.011
陈洪宇教授应用黄芪类方治疗肾性水肿经验撷菁
Professor CHEN Hongyu's Experience in Treating Renal Edema by Applying Astragalus Prescription
摘要
Abstract
[Objective]To summarize the clinical experience of Professor CHEN Hongyu in treating renal edema with Astragalus Prescription.[Methods]Through clinical apprenticeship,case analysis and review of classical and modern literature,this study examined the pathogenesis of renal edema,the functional characteristics of Astragalus and the therapeutic strategy of Astragalus Prescription for renal edema.It detailed Professor CHEN Hongyu's clinical application of these prescriptions,supported by a representative medical record.[Results]Professor CHEN Hongyu identifies the core pathogenesis of renal edema as:external wind-dampness,internal organ impairment and blood stasis obstructing collaterals.Astragalus treats wind,deficiency and stasis.Clinically,this guides the selection of formulas based on its specific function,establishing three integrated methods:dispelling wind-dampness,tonifying deficiency and unblocking blood vessels.The medical record cited was identified as a deficiency of the spleen and kidney and internal disturbance of wind-dampness.The treatment should be tonifying the spleen and kidney,eliminating wind and dampness,and the prescription was based on the addition and subtraction of Fangji Huangqi Decoction to alleviate edema,reduce toxins and increase the efficacy of the treatment,and the efficacy was precise.[Conclusion]Professor CHEN Hongyu's application of Astragalus Prescription for renal edema consistently targets the core pathogenesis,tailoring Astragalus functions to specific syndrome presentations.This distinctive clinical approach offers significant value for clinical adoption.关键词
肾性水肿/黄芪/风湿/虚损/瘀血/防己黄芪汤/医案/陈洪宇Key words
renal edema/Astragalus/wind-dampness/deficiency/blood stasis/Fangji Huangqi Decoction/medical records/CHEN Hongyu分类
医药卫生引用本文复制引用
吴倩,王曾,陈洪宇..陈洪宇教授应用黄芪类方治疗肾性水肿经验撷菁[J].浙江中医药大学学报,2025,49(10):1288-1293,6.基金项目
浙江省名老中医专家传承工作室建设项目(GZS2021031) （GZS2021031）
浙江省中医药科技计划中医药现代化专项项目(2022ZX014) （2022ZX014）
浙江省科技计划"尖兵领雁+X"研发攻关计划(2024C03212) Zhejiang Provincial Famous Traditional Chinese Medicine Experts Inheritance Studio Project(GZS2021031) （2024C03212）
Zhejiang Traditional Chinese Medicine Science and Technology Plan Project(2022ZX014) （2022ZX014）
Zhejiang Science and Technology"Pioneer"and"Leading Goose"R&D Program(2024C03212) （2024C03212）
