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窠囊理论的慢性肾脏病病机与治疗策略

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窠囊理论出自朱震亨所著的《丹溪心法》,是中医痰瘀互结学说的重要内容.慢性肾脏病的发生发展与窠囊痰挟瘀血的病机特点高度契合.从窠囊理论切入,认为脾肾虚衰导致气血津液代谢失常,瘀闭痰结,胶结不解,酿生窠囊,滞于肾络是慢性肾脏病的主要病机.故治疗上强调益肾健脾,正本清源;理气调枢,畅达气机;痰瘀同治,通透窠囊.这为慢性肾脏病的治疗提供了新思路.
Pathogenesis and Treatment Strategy of Chronic Kidney Disease Based on Kenang Theory
Kenang theory,originating from Danxi's Experiential Therapy(Dan Xi Xin Fa)by Zhu Zhenheng,is a key aspect of the traditional Chinese medicine(TCM)concept of the interconnection between phlegm and blood stasis.The pathogenesis of chronic kidney disease(CKD)aligns closely with the characteristics of phlegm combined with blood stasis in the Kenang Theory.According to this theory,spleen and kidney deficiency leads to abnormal metabolism of qi,blood,and body fluids,and results in blood stasis and phlegm accumulation,which triggers Kenang(mass)and obstructs the kidney collaterals.It is considered a primary pathogene-sis of CKD.Therefore,treatment emphasizes tonifying the kidney and spleen to address the root cause,regulating qi to ensure smooth qi flow,and simultaneously treating both phlegm and blood stasis to resolve the Kenang.This approach provides a new per-spective for the treatment of CKD.

Kenang theoryPhlegm and blood stasisChronic kidney diseaseClinical thinkingTCM TheoryPhlegm combined with blood stasisPathogenesisTreatment strategy

施月、石秀杰、张昱

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中国中医科学院西苑医院肾病科,北京,100091

窠囊理论 痰瘀互结 慢性肾脏病 临床思路 中医理论 痰挟瘀血 病机 治疗策略

国家自然科学基金面上项目北京市科技计划课题首都临床诊疗技术研究及示范应用项目广东省新黄埔中医药联合创新项目中国中医科学院科技创新工程项目

81873300Z1911000066190632021IR009CI2021A01206

2024

10.3969/j.issn.1673-7202.2024.13.015

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子：1.266
ISSN：1673-7202
年,卷(期)：2024.19(13)
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