中医学报2026，Vol.41Issue(5)：975-980,6.DOI:10.16368/j.issn.1674-8999.2026.05.143
从"水不利则病血"病机理论阐释慢性肾脏病并发血脉病变的内涵与外延
Connotation and Denotation of Blood Vessel Disorder in Chronic Kidney Disease Based on Pathogenesis Theory of"Shui Bu Li Ze Bing Xue"
摘要
Abstract
Cardiovascular complications are the most common cause of death in patients with chronic kidney disease(CKD),such as vascular calcification,heart failure,and myocardial infarction.From the perspective of traditional Chinese medicine,the Kidney is con-sidered as the"Water Zang",responsible for water metabolism,whereas the Heart governs the blood and vessels,with vessels being the repository of blood.Cardiovascular diseases secondary to CKD are a typical manifestation of impaired Water metabolism leading to dys-function in blood circulation,which can be summarized in the pathogenesis principle as"Shui(Water)Bu Li Ze Bing Xue(blood)".In this process,"Shui Bu Li"includes metabolic disturbances caused by pathologic factors related to CKD,such as Phlegm,Fluids,and Dampness,while"Bing Xue"is reflected in the pathological outcomes of blood vessel insufficiency and blood stasis.Based on this un-derstanding,guided by syndrome differentiation and disease differentiation as well as the principle of treating both Water and blood sim-ultaneously,methods such as promoting Water circulation to activate blood,removing Dampness to unblock meridians,dispelling Phlegm and removing stasis as well as replenishing Essence and blood can be applied to treat CKD-related vascular lesions.关键词
慢性肾脏病/血脉病变/"水不利则病血"/瘀血/血管钙化/心血管疾病Key words
chronic kidney disease/blood and vessel lesion/"Shui(Water)Bu Li Ze Bing Xue(blood)"/blood stasis/vascular calci-fication/cardiovascular disease分类
医药卫生引用本文复制引用
王晖,郑翊轩,樊均明,任思冲..从"水不利则病血"病机理论阐释慢性肾脏病并发血脉病变的内涵与外延[J].中医学报,2026,41(5):975-980,6.基金项目
四川省科技计划重点研发项目(2021YFS0035) （2021YFS0035）
四川中医药大健康产业发展与乡村振兴研究中心项目(DJKZD202203) （DJKZD202203）
成都医学院第一附属医院专项重点项目(CYFY2021ZD01) （CYFY2021ZD01）
四川省中医药管理局面上项目 （）
