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肾命关系演变与命门证治发展

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文章基于肾与命门关系梳理命门实质从"属于肾"到"独立于肾"之更迭,肾与命门属性从"心肾生水火"到"命门主水火"之嬗递,通过探讨肾与命门证治从"补虚泻实"到"温阳滋阴"之变迁以及代表方从"肾气丸、六味丸"到"左归丸、右归丸"之演变,指出命门证治未突破肾之范畴的原因.以"命门位于肾下"来厘清肾与命门之关系,并提出命门证治新思路,以期扩大命门病证之主治范围,助力提升中医临床疗效.
Evolution of the relationship between the kidney and the Mingmen and the development of Mingmen syndrome and treatment
The article is based on the relationship between the kidney and the Mingmen to sort out the changes in the essence of the Mingmen from'belonging to the kidney'to'independent of the kidney',and the evolution of the attributes of the kidney and the Mingmen from'the heart and kidney generate water and fire'to'the Mingmen master water and fire'.By exploring the changes in the treatment of the kidney and the Mingmen syndrome from'tonifying deficiency and reducing excess'to'nourishing yang and yin',as well as the evolution of the representative formulas from'Shenqi Pill and Liuwei Pill'to'Zuogui Pill and Yougui Pill'.The article points out the reason why the treatment of the Mingmen syndrome has not broken through the scope of the kidney.The relationship between the kidney and the Mingmen is clarified based on'the Mingmen is located below the kidney'.New ideas are proposed to treat the Mingmen syndrome in order to expand its scope of treatment,and help improve the clinical efficacy of traditional Chinese medicine.

MingmenKidneyKidney yinKidney yangTrue waterTrue fireShenqi Pill

刘蕴葭、赵艳、林明欣

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北京中医药大学中医学院,北京 100029

中国中医科学院中医基础理论研究所,北京 100700

命门 肾阴 肾阳 真水 真火 肾气丸

中央级公益性科研院所基本科研业务费专项资金中央级公益性科研院所基本科研业务费专项资金

YZ-202136YZ202138

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)