中医药临床杂志2024,Vol.36Issue(4) :679-682.DOI:10.16448/j.cjtcm.2024.0420

王亿平"宣、化、渗、利"四法在慢性肾脏病湿热证中的应用

Application of Professor Wang Yiping's Four Methods of "Propaganda, Transformation, Infiltration, and Benefit"in Chronic Kidney Disease with Damp Heat Syndrome

彭楚怡 桑田 王亿平 曹泽平 葛永 刘传娇
中医药临床杂志2024,Vol.36Issue(4) :679-682.DOI:10.16448/j.cjtcm.2024.0420

王亿平"宣、化、渗、利"四法在慢性肾脏病湿热证中的应用

Application of Professor Wang Yiping's Four Methods of "Propaganda, Transformation, Infiltration, and Benefit"in Chronic Kidney Disease with Damp Heat Syndrome

彭楚怡 1桑田 1王亿平 2曹泽平 1葛永 1刘传娇1
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作者信息

  • 1. 安徽中医药大学第一临床医学院 安徽合肥 230038
  • 2. 安徽中医药大学第一附属医院 安徽合肥 230031
  • 折叠

摘要

湿热是慢性肾脏病的常见病因,湿热证是慢性肾脏病的主要证候之一,也是导致肾功能损害进展的关键因素,因而诊治"湿热证"对于延缓慢性肾脏病进展具有重要意义.王亿平教授长期从事中医药防治肾脏疾病临床及科研工作,根据慢性肾脏病湿热的证候特点,总结出宣肺利湿热、健脾化湿热、淡渗利湿热、利尿清湿热之"宣、化、渗、利"四法治疗慢性肾脏病湿热证,取得满意疗效.同时强调临证时需注意湿热有偏盛,病位侧重亦有所不同,当具体分析,合理配伍.该文从病因病机、治疗组方用药等方面,分析了王亿平教授诊治慢性肾脏病湿热证的经验.

Abstract

Damp heat is a common cause of chronic kidney disease, and dampness heat syndrome is one of the main symptoms of chronic kidney disease. It is also a key factor leading to the progression of renal function damage. Therefore, the diagnosis and treatment of "dampness heat syndrome" is of great significance for delaying the progres-sion of chronic kidney disease. Professor Wang Yiping has been engaged in clinical and scientific research on the pre-vention and treatment of kidney diseases using traditional Chinese medicine for a long time. Based on the characteris-tics of dampness and heat syndrome in chronic kidney disease, he has summarized four methods for treating dampness and heat syndrome in chronic kidney disease: promoting lung circulation, strengthening spleen to dissipate dampness and heat, reducing dampness and heat, and diuresis to clear dampness and heat. These methods have achieved satis-factory therapeutic effects. At the same time, it is emphasized that in clinical practice, it is necessary to pay attention to the excessive dampness and heat, and the emphasis on disease location is also different. When analyzing specifi-cally, a reasonable combination should be made. This article analyzes Professor Wang Yiping's experience in the diagnosis and treatment of dampness heat syndrome in chronic kidney disease from the perspectives of etiology, patho-genesis, treatment prescriptions, and medication.

关键词

湿热证/慢性肾脏病/宣、化、渗、利

Key words

Dampness-heat syndrome/Chronic kidney disease/Expelling lung/Dehumidification/wetting/diuresis

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基金项目

重大疑难疾病中西医协同攻关项目(2021)(皖中医药发展秘[2021]70号)

安徽省中医药领军人才项目(中医药发展秘[2018]23号)

省级医疗卫生重点专科建设项目(2021)(皖卫函[2021]273号)

出版年

2024
中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
参考文献量27
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