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许家松辨治慢性肾病舌诊经验

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介绍许家松教授运用温病学舌诊理论,结合"辨证论治五步法"辨治慢性肾病的经验。许师从"整体恒动观"的中医学指导思想出发,以温病学辨舌法中三焦脏腑定位、正邪关系等内容为理论基础,以方药中先生"辨证论治五步法"为临床诊疗思路,认为舌象的观察要以整体到局部为顺序,重视舌象在治疗前后的对比,总结舌象动态变化,将舌象作为慢性肾病中医临床上辨证辨病、诊疗效果、判断预后的重要客观证据之一,并重视其在治则治法选择上起到的关键作用。
Professor XU Jiasong's Experience in Tongue Diagnosis of Syndrome Differentiation and Treatment of Chronic Kidney Disease
This paper presents Professor XU Jiasong's experience in treating chronic kidney disease through the application of tongue diagnosis for warm diseases and the integration of the"five-step method of syndrome differentiation".Grounded in the guiding principles of traditional Chinese medicine,specifically the"holistic view of constant motion",and drawing on the theoretical framework of sanjiao-zangfu viscera positioning and the relationship between the healthy qi and pathogenic factors in tongue differentiation in warm diseases,Mentor XU emphasizes a clinical diagnostic and treatment approach centered on the"five-step method of syndrome differentiation",which was put forward by Master FANG Yaozhong.He advocates for a comprehensive observation of tongue images,emphasizing comparisons before and after treatment to capture dynamic changes.The tongue image is considered crucial objective evidence for clinical syndrome differentiation,disease diagnosis,treatment effectiveness,and prognosis in chronic kidney disease,underscoring its pivotal role in guiding treatment selection.

tongue diagnosisXU Jiasongchronic kidney diseasetongue diagnosis for warm diseasesfive-step method of syndrome differentiation

杨丛旭、王耀巍、王新慧、许家松

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中国中医科学院西苑医院肾病科,北京 100091

舌诊 许家松 慢性肾病 温病学舌诊 辨证论治五步法

国家自然科学基金项目

81960852

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(9)