从"肠道微生态"角度初探夏桂成教授"心(脑)肾-肝脾-子宫轴"的理论创新及用药思考

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中文摘要：国医大师夏桂成教授(以下尊称"夏老")在临床反复实践中对"心-肾-子宫轴"产生了新的认识，肝脾为枢纽，同为生化之源，协助心肾相交。基于"肠道微生态"的现代医学内涵，阐述其在"心(脑)肾-肝脾-子宫轴"理论中的加入"肝脾"二脏的分子基础，进而证实"肠道菌-卵巢轴"平衡是其功能正常的重要因素。临证用药以调和肝脾四法为基础，最终达到心肾同治、肝脾同调的境地，并贯穿于"调周法"的全过程。

外文标题：Exploring Professor Xia Guicheng's Theoretical Innovation and Medication Thinking on the"Heart(Brain-Kidney)-Liver Spleen-Uterus Axis"from the Perspective of"In-testinal Microecology"

外文摘要：Professor Xia Guicheng,a master of traditional Chinese medicine(respected as"Xia Lao"bellow),developed a new understanding of the"hear-kidney-uterus axis"through clinical practice.The liver and spleen are the hubs,the origina-tion of body,and assist in the intercourse between heart and kidney.Based on the modern medical connotation of"gut microbio-ta",this article elaborates on the molecular basis of adding"liver and spleen"to the"heart(brain-kidney)-liver spleen-u-terus axis"theory,and further confirms that the balance of"gut-ovarian axis"is an important factor in its normal function.Clinical medication is based on the four methods of harmonizing the liver and spleen,ultimately achieving the state of simultaneous treatment of the heart and kidney,liver and spleen,and through the entire process of the"regulating the week method".

外文关键词：

"Intestinal Microecology""Heart(Brain-Kidney)-Liver Spleen-Uterus Axis""Gut-ovarian axis"Xia guichengTreatment of the heart and kidneyLiver and spleen

作者：

陈雯玥、马桦、任青玲

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作者单位：

南京中医药大学附属医院,江苏南京 210029

关键词：

"肠道微生态" "心(脑)-肝脾-肾-子宫轴" "肠道菌-卵巢轴" 夏桂成心肾同治肝脾同调

基金：

国家自然科学基金江苏省中医院院级课题江苏省中医妇产生殖临床医学创新中心第四批江苏省名老中医药专家传承工作室

项目编号：

82104904Y21001苏中医科教[2021]6号苏中医科教[2021]7号

出版年：

2024

DOI：

10.3969/j.issn.1008-0805.2024.05.51

时珍国医国药

时珍国医国药杂志社

时珍国医国药

北大核心

影响因子：0.887

ISSN：1008-0805

年,卷(期)：2024.35(5)