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肾病"治玄三步法"探微

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肾脏与玄府在结构与功能上密切相关,从玄府学说论治肾脏病临床应用广泛,笔者系统整理了肾脏病的"治玄三步法",即开门户、畅道路、调气血.玄府乃窍之门户,开阖滑利,而风易客玄,导致开阖艰涩,提出辛温发散、疏风升提以开玄府之门户;玄府为道路,往来流利,而血瘀、癥瘕阻络,导致道失通畅,提出活血化瘀、消癥散结治法清除玄府瘀滞;玄府气血灌渗,机能为用,而窍道闭塞,则神机失用,治以开窍致津、补气养血、益肾填精之法以调玄府之气血.以上三步治法用以恢复肾脏玄府气机升降出入之功能,以期为临床提供参考.
Probe into the 'three steps to heal Xuanfu' of kidney disease
The kidney and Xuanfu are closely related in structure and function.The treatment of kidney disease based on Xuanfu theory is widely used in clinical practice.We have systematically sorted out the'three steps to heal Xuanfu'of kidney disease,that is,opening the door,opening the passage,and regulating qi and blood to treat kidney disease.The Xuanfu has a door to open and close,which is smooth,while the wind is easy to open and close,which leads to the difficulty of opening and closing.It is proposed to open the door of Xuanfu by spreading the heat and dispersing the wind;Xuanfu is a road with smooth traffic,while blood stasis and syndrome block the collaterals,which leads to the loss of smoothness of the road.The method of activating blood circulation to remove blood stasis and eliminating symptoms and dispersing stasis was proposed to remove the blood stasis in Xuanfu;The qi and blood of Xuanfu is infused,and the magic machine is used.If the orifices are blocked,the function of Xuanfu is lost.The method of opening the orifices to promote fluid flow,replenishing qi and nourishing blood,and tonifying the kidney and filling the essence is used to regulate the qi and blood of Xuanfu.The above three-step treatment is used to restore the function of ascending and descending of the kidney's Xuanfu qi,so as to provide a reference for clinical practice.

XuanfuThree steps to heal XuanfuKidney diseaseTreatmentTheoretical exploration

艾思南、王耀献

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北京中医药大学,北京 100029

北京中医药大学东直门医院,北京 100700

玄府 治玄三步法 肾病 治疗 理论探讨

中医药传承与创新"百干万"人才工程(岐黄工程)国家自然科学基金面上项目

82174342

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(9)