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仲景心肾同病论治的理论与方法

The Theory and Method of Zhongjing Heart and Kidney Disease Treatment

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目的 探讨医圣张仲景对心肾同病论治的认识、治疗、用药等方面的特色,为临床辨治心肾同病提供新的思路和方法.方法 采用文献研究法,研读《伤寒论》《金匮要略》中张仲景的相关论述和当代医家的论述,从肾与心的生理关系出发,分析总结张仲景心肾同病论治的方论及现代应用.结果 仲景心肾同病论治的方论分别为黄连阿胶汤、桂枝加龙骨牡蛎汤、茯苓四逆汤、桂枝加桂汤、茯苓桂枝甘草大枣汤.结论 从广义上看,心肾综合征归属于心肾同病的范畴,可以参考《伤寒论》和《金匮要略》中心肾交互同病的论述进行辨治,从狭义上看,还需针对其他分型的心肾综合征深入钻研,以此丰富和完善经方辨治心肾综合征理论和方法,以期为临床治疗提供有益参考和补充.
Objective In order to explore the characteristics of the understanding,treatment and medication of the treatment of heart and kidney diseases,and to provide new ideas and methods for the clinical identification and treatment of heart and kidney diseases.Methods This paper adopts the literature research method,through studying the relevant expositions of Zhang Zhongjing in"Treatise on Cold Damage Diseases"and"Synopsis of the Golden Chamber"and the discussions of contemporary doctors,and analyzes and summarizes the theory and modern application of Zhang Zhongjing's theory of treating the same heart and kidney dis-ease from the physiological relationship between kidney and heart.Results The treatment of Zhongjing heart and kidney diseases were HuangLian-EJiao decoction,Cassia Twig and Dragon Bone Combination,Fu Ling Si Ni Tang,Gui Zhi Jia Gui Tang,and Gui Zhi Fu Ling Gan cao Da Zao Tang.Conclusion In a broad sense,cardiorenal syndrome belongs to the category of cardiorenal syndrome,which can be distinguished and treated by referring to the discussion of renal interaction and disease in the center of"Typhoid Fever"and"Essentials of Jinkuang",and in a narrow sense,it is necessary to study in-depth for other types of cardio-renal syndrome,so as to enrich and improve the theory and method of identifying and treating cardiorenal syndrome,in order to provide useful reference and supplement for clinical treatment.

Zhang Zhongjingheart and kidney diseasetheorymethod

韩玲、高坤

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南京中医药大学附属医院,江苏南京 210004

邹燕勤国医大师传承工作室,江苏南京 210004

张仲景 心肾同病 理论 方法

国家中医药局青年岐黄学者支持项目江苏省中医院高峰人才支持项目

202012y2021rc23

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(3)
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