首页|基于"肾藏-肾脏"理念的尿石症中西医结合防治观

基于"肾藏-肾脏"理念的尿石症中西医结合防治观

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尿石症发病机制尚不明确,中医、西医单方面防治手段均存在明显局限性.解剖学视角下的肾脏微观病理变化与中医脏腑学说中"肾藏不足、肾虚为本"观点具有一定内在联系,据此提出肾藏-肾脏"双肾"理念的尿石症中西医结合防治观.认为尿石症防治区分排石、防石两个阶段,从"肾脏"防石,关注肾脏早期病变;从"肾藏"防石,强调从肾虚防治尿石症;分时而论,分段而治,坚持"未病先防,防重于治",旨在将防治尿石症的干预靶点提前,强调"肾-石"同治,重点关注成石前期含钙晶体性肾病的发展并注重中医"肾虚为本"的根本病机."肾藏""肾脏"同治可进一步促进尿石症中西医结合防治一体化,为尿石症的防治提供借鉴.
Discussion on the Prevention and Treatment of Urolithiasis by Integrated Traditional Chinese and Western Medicine based on"Shen-kidney Theory"
The pathogenesis of urolithiasis is not yet clear,and there are obvious limitations in the prevention and treatment of urolithiasis by either Chinese or western medicine.The microscopic pathological changes of the kidney from anatomical perspective have a certain internal connection with viewpoint of"kidney storing insufficiency,and kidney deficiency as the root"in the traditional Chinese medicine(TCM)zang-fu(脏腑)theory.Accordingly,the prevention and treatment of urolithiasis by integrated traditional Chinese and western medicine based on"shen-kidney"theory has been proposed.It is believed that the prevention and treatment of urolithiasis can be divided into two stages,that is expelling stones and preventing stones.In terms of preventing stones from kideny,it is recommended to focus on the early pathological changes of the kidney;for preventing stones from shen,it is advised to prevent and treat urolithiasis from kidney deficiency.The treatment should be time-based and stage by stage.Adhering to the principle of"prevention before disease occurs,prevention is more important than treatment"aims to advance the intervention targets for the prevention and treatment of urolithiasis.Emphasizing on the simultaneous treatment of kidney disease and urolithiasis,it is critical to put focus on the development of calcium-containing crystalline nephropathy in the early stage of stone formation,as well as the fundamental pathogenesis of kidney deficiency in TCM.Shen-kidney theory aims to further promote the integration of traditional Chinese and western medicine in the prevention and treatment of urolithiasis,which may provide certain reference for solving the current dilemma of urolithiasis prevention and treatment.

urolithiasisShenkidneycalcium-containing crystalline nephropathykidney deficiency

石兵、赵凡、解吕中、张春和、吕伯东、马利民、秦国政

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南京中医药大学南通附属医院,江苏省南通市崇川区建设路41号,226000

南京中医药大学

南通大学附属医院

云南中医药大学第一附属医院

浙江大学医学院附属第二医院

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尿石症 肾藏 肾脏 含钙晶体性肾病 肾虚

国家中医药局全国名老中医药专家传承工作室建设项目南通市卫生健康委科研项目南通大学附属医院"青蓝工程"项目中华中医药学会青年人才托举工程项目江苏省研究型医院项目江苏省研究型医院项目

国中医药人教函[2022]75号QN2022024CACM-2023-QNRC2-B21YJXYY202204-XKB08YJXYY202204-YSA05

2024

10.13288/j.11-2166/r.2024.06.005

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子：1.464
ISSN：1001-1668
年,卷(期)：2024.65(6)
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