基于"肾苦燥,急食辛以润之"探讨慢性肾脏病相关瘙痒症的辨治思路
Discussion on the treatment of chronic kidney disease-associated pruritus based on the principle of"kidney suffers from dryness and can be moistened by pungent drugs"
周思宇 1马晓彤 1龚保文2
作者信息
- 1. 广州中医药大学附属汕头市中医医院,汕头 515000
- 2. 广州中医药大学附属汕头市中医医院肾内科,汕头 515000
- 折叠
摘要
基于"肾苦燥,急食辛以润之"探讨慢性肾脏病相关瘙痒症(CKD-aP)的病机及治疗.认为CKD-aP始于肾气亏虚,以湿浊、瘀血、寒、热、浊毒为标,最终导致肾不运水,发为"肾燥".提示治疗CKD-aP应以"辛以润之"为核心,根据疾病发展阶段及矛盾的主次,分别采用辛温(热)宣散、辛寒(凉)宣泄的治法,帮助恢复气血津液的正常输布运行,从而促进疾病恢复.
Abstract
Based on the principle of"kidney suffers from dryness and can be moistened by pungent drugs",this article discussed the pathogenesis and treatment of chronic kidney disease-associated pruritus(CKD-aP),and believed that this disease begins with deficiency of kidney qi,and dampness,blood stasis,cold,heat,and turbid toxin are the symptoms,which ultimately leads to the kidney's inability to transport fluids,and develops into"dryness of kidney".It suggested that the treatment of CKD-aP should be"using pungent drugs to moisten"as the core,according to the stage of development of the disease and the contradiction of the primary and secondary,respectively,the use of pungency-warm(heat)declination,pungent-cold(cool)declination of the treatment,to help to restore the normal transmission of fluid operation,qi and blood,and promote fluids to reduce dryness,so as to promote the recovery of the disease.
关键词
肾病/慢性病/瘙痒症/皮肤疾病/肾苦燥/肾不运水/辛以润之Key words
Nephrosis/Chronic disease/Pruritus/Skin diseases/Kidney suffers from dryness/Kidney does not transport fluids/Moisturizing with pungent引用本文复制引用
基金项目
广东省中医药局省级科研课题(20201331)
出版年
2024
NETL
NSTL
万方数据