肾风治风论
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R249;R256.5

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第三批宁波市名中医药专家学术经验继承项目(甬卫办中医[2020]150号);浙江省宁波市中医重点学科中西医结合肾脏病学(2016-Z05); 浙江省宁波市医疗卫生品牌学科(PPXK2018-07)


Treatment of Kidney Diseases Induces by Wind Pathogens with Theory of Treating
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    摘要:

    介绍王建康教授从风论治肾风的临床经验。据文献所述及临床经验总结,王建康教授认为,肾风即肾脏感受风邪所致的疾患,临证辨识须与风水相区别。在病因病机上,有肾虚风袭为病起之本、气机失调为病进之助、内外合风为病急之因、浊瘀互结为病变之积多个方面。在病位上,主在肺脾肾而又涉及心肝、三焦,累及多脏多腑。在治疗上,形成了以祛风散邪、益肾固表为主,以疏畅气机、调肝治风为恒,以活血化瘀、利湿泄浊为辅的特点。在用药上,风药的使用贯穿始终:邪入肾络者,风药散之;郁火内结者,风药发之;瘀血停阻者,风药行之;湿浊内蕴者,风药胜之。分别起到祛风解表胜湿、调肝解郁治风、开玄启闭解毒之功效。

    Abstract:

    Abstract:This paper introduces the clinical experience of Professor WANG Jiankang treating the kidney wind from the perspective of wind. Based on literature and summary of clinical experience,Professor WANG Jiankang holds that the kidney wind is the disease caused by the wind assailing the kidney,and its clinical syndrome differentiation should be distinguished from Feng Shui(Chinese geomancy). As for the etiology and pathogenesis,it is the kidney deficiency and the attack of wind that induce the disease;the disorder of qi movement fosters its development;the combination of internal and external wind aggravates the condition; the binding of turbidity and stasis is the accumulation that promotes pathological changes. The location of the disease mainly lies in the lung, the spleen, and the kidney, involving the heart and the liver, the triple energizer,and many other viscera and bowels. As for the treatment,it should be focused on dispelling wind and eliminating the pathogenic factors as well as supplementing the kidney and securing the exterior,insist on regulating qi movement and the liver and treating wind and be assisted by activating blood and resolving stasis as well as draining dampness and purging turbidity. As for the medication,the use of medicine of wind runs through the treatment,because the medicine can help dissipate pathogen that invades the kidney vessel,disperse the internal accumulation of fire transformed from stagnant qi, remove blood stasis,and prevail the internal accumulation of dampness and turbidity,which is to say,the medicine of wind has effects of dispelling wind,releasing the exterior and prevailing dampness,regulating the liver,resolving depression and treating wind,as well as opening the sweat pore and detoxifying.

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邓颖萍,王建康,冯慧,王瑾,华晖辉.肾风治风论[J].新中医,2021,53(24):209-213

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  • 在线发布日期: 2021-12-27
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