[1]赵艺芳,廖 垚,朱惠征,等.李佑生主任医师从“胆”论治肾性骨营养不良[J].陕西中医,2022,(8):1091-1094,1098.[doi:DOI:10.3969/j.issn.1000-7369.2022.08.025]
　ZHAO Yifang,LIAO Yao,ZHU Huizheng,et al.LI Yousheng treats renal osteodystrophy from “gallbladder”[J].,2022,(8):1091-1094,1098.[doi:DOI:10.3969/j.issn.1000-7369.2022.08.025]
点击复制

李佑生主任医师从“胆”论治肾性骨营养不良
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年8期
页码:
1091-1094,1098
栏目:
名中医经验
出版日期:
2022-08-05

文章信息/Info

Title:
LI Yousheng treats renal osteodystrophy from “gallbladder”
作者:
赵艺芳1; 廖 垚1; 朱惠征2; 曹凤珍1; 张贤彬1; 时倩琳1; 陈玲玲2; 李佑生2
(1.暨南大学中医学院,广东 广州 510632; 2.深圳市人民医院,广东 深圳 518020)
Author(s):
ZHAO Yifang; LIAO Yao; ZHU Huizheng; CAO Fengzhen; ZHANG Xianbin; SHI Qianlin; CHEN Lingling; LI Yousheng
(School of Traditional Chinese Medicine,Jinan University,Guangzhou 510632,China)
关键词:
肾性骨营养不良;  肾虚;  瘀血;  胆主骨;  健脾补肾
Keywords:
Renal osteodystrophy;  Kidney deficiency;  Blood stasis;  Gallbladder dominates bone;  Strengthening the spleen and kidney
分类号:
R 692
DOI:
DOI:10.3969/j.issn.1000-7369.2022.08.025
文献标志码:
A
摘要:
肾性骨营养不良是慢性肾脏病引起的钙、磷代谢紊乱的临床综合征,以骨痛、骨质疏松、骨折等病理性改变为主要表现。李佑生教授受《黄帝内经》“胆主骨所生病”理论启发,将“胆主骨”与“肾主骨”理论相结合,根据肾性骨营养不良的临床特点,以及“他脏治本脏病”的理念,从胆主骨理论入手治疗肾性骨营养不良。肾性骨营养不良的病机为肾虚髓空,胆腑郁滞,加之脾气亏虚,肝宗筋束骨不利,瘀血、浊毒壅滞经脉,以肾虚、胆郁为本,三焦闭阻、瘀血浊毒内蕴为标。据此立补肾、调胆两大治则,并以补肾温髓调胆为纲,健脾补肾、补益肝肾、温髓壮胆化瘀、疏胆升阳祛浊为法,从整体观入手,辨证施治,达到阴阳协调,五脏六腑和安。以期在临床为他脏治本脏病、本脏病同治提供理论依据。
Abstract:
Renal osteodystrophy is a clinical syndrome of calcium and phosphorus metabolism disorders caused by chronic kidney disease.Pathological changes such as bone pain,osteoporosis,and fractures are the main manifestations.Professor LI Yousheng was inspired by the theory of “the gallbladder governs the bone disease” in the “Huang Di Nei Jing”,combining the two theories of “the gallbladder governs the bone” and “the kidney governs the bone”.According to the clinical features of renal osteodystrophy,it can be treated by “the gallbladder governs the bone” theory.He proposed that the pathogenesis of renal osteodystrophy is kidney deficiency and marrow.Other causes are empty,stagnation of gallbladder and entrails,combined with a deficiency of spleen qi,unfavorable hepatic muscles,and bones,blood stasis,turbidity,and stagnation of meridians.The cause of the disease is gall bladder depression,and the result is blood stasis.According to this,the two main therapies for invigorating the kidney and regulating the gallbladder are established,and the methods of invigorating the kidney,warming the marrow and regulating gallbladder,strengthening the spleen and kidney,invigorating the liver and kidney,warming the marrow,strengthening the gallbladder and removing blood stasis,and promoting the gallbladder and yang and removing turbidity are used in clinical practice.By the whole concept and syndrome differentiation and treatment,yin-yang will be harmonious,and the physiological functions of five zang-organs and six fu-organs will be normal.Provide a theoretical basis for treating the underlying viscera disease and the determined viscera disease simultaneously.

参考文献/References:

[1] 夏 涛.甲状旁腺激素(1-34)联合鲑鱼降钙素对绝经后骨质疏松压缩性骨折患者骨密度、骨代谢的影响[J].陕西医学杂志,2018,47(11):1480-1482,1486.
[2] 周玮莎,王 坤,张 超.中西医结合治疗肾性骨病的诊疗进展[J].陕西中医,2016,37(6):765-766.
[3] 李张红,李志開,张瑞瑞.不同活性维生素D治疗维持性血液透析患者慢性肾脏病矿物质和骨异常对比研究[J].陕西医学杂志,2017,46(5):656-658.
[4] 李亚娟,马 文,喻益峰,等.《内经》“骨强筋弱”浅析及其临床运用[J].陕西中医,2017,38(8):1120-1121.
[5] 王冬梅.从肾论治肾衰并发症[J].辽宁中医药大学学报,2009,11(11):62-63.
[6] 李 良,刘南梅.补肾健骨汤治疗肾性骨病疗效观察[J].中国中医急症,2008,1(8):1068-1069.
[7] 杨上善.黄帝内经太素[M].北京:人民卫生出版社,1965:112.
[8] 周 震.从“肾主骨”与“少阳主骨”的关系谈骨之体用[J].天津中医药,2014,31(1):20-22.
[9] 张景岳.类经[M].北京:人民卫生出版社,1965:420.
[10] 王鸿度,张丰正,游 慧.“少阳主骨”理论考辩[J].中国针灸,2008,28(6):469.
[11] 王庆谚,郑洪新,张虹玺.从“少阳主骨”论骨质疏松症[J].中华中医药杂志,2019,34(6):2381-2382.
[12] 程海涛,张晓暄,李银辉.肾性骨病发病机制研究及进展[J].中国骨质疏松杂志,2020,26(10):1550-1554.
[13] 王科闯.王鸿度教授关于“少阳主骨”学术思想和临床经验总结(附“和解少阳”法对膝骨性关节炎合并骨质疏松的临床研究)[D].成都:成都中医药大学,2015.
[14] 韩小伟,程淑碧,祁爱蓉,等.针灸与健脾益肾方、罗钙全联用治疗肾性骨病疗效观察[J].中华现代护理杂志,2008,14(11):4-6.
[15] 张庆怡,牟 姗.慢性肾衰竭与肾性骨病[J].中国中西医结合肾病杂志,2003,4(3):125-127.
[16] 章 波,吴 飚.从“少阳主骨”、“髓虚应胆”论肝肾相关[J].成都中医药大学学报,2014,37(2):119.
[17] 陈韵龙,黄嘉嘉,陈贵珍,等.“少阳主骨”理论的生物学机制探讨[J].中国中西医结合杂志,2021,36(1):1-7.
[18] 司誉豪,马 勇,於 浩,等.“少阳主骨”理论体系构建进展——论肝X受体α为治疗膝骨关节炎的物质基础[J].中国中西医结合杂志,2021,41(1):96-100.
[19] 孙 龙,王小琴.基于“肾主骨”理论的FGF23-KL轴在肾性骨营养不良中的作用探讨[J].时珍国医国药,2020,31(10):2463-2465.
[20] 贾小军,邢昌赢.肾性骨病PTH检测与组织学检查的临床意义[J].河北医药,2011,33(19):2926-2927.

相似文献/References:

[1]董 琪,张快强,昝 强,等.刘德玉教授论治原发性骨质疏松症经验*[J].陕西中医,2020,(2):226.
[2]刘意如,赵 薇△,成 佩.赵薇教授治疗青春期多囊卵巢综合征经验[J].陕西中医,2020,(2):234.
　LIU Yiru,ZHAO Wei,CHENG Pei..Professor ZHAO Wei's clinical experience in the treatment of adolescent polycystic ovarian syndrome[J].,2020,(8):234.
[3]彭 超,王虎平,米彩云,等.黑逍遥散从血论治阿尔兹海默病探析[J].陕西中医,2021,(4):496.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.024]
　PENG Chao,WANG Huping,MI Caiyun,et al.Analysis of treating Alzheimer's disease with Heixiaoyao powder from blood[J].,2021,(8):496.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.024]
[4]徐洪胜,李海松,王世桢,等.李海松教授从瘀、虚论治慢性前列腺炎经验[J].陕西中医,2022,(10):1445.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.030]
　XU Hongsheng,LI Haisong,WANG Shizhen,et al.Professor LI Haisong's experience in treating chronic prostatitis from stasis and deficiency[J].,2022,(8):1445.[doi:DOI:10.3969/j.issn.1000-7369.2022.10.030]
[5]罗 玲,李伟莉.李伟莉教授辨治未破裂卵泡黄素化综合征经验[J].陕西中医,2023,(6):777.[doi:DOI:10.3969/j.issn.1000-7369.2023.06.022]
[6]周慧婷,渠 昕,楚淑芳,等.名中医王孟庸从“扶阳气,存阴液”论治肾虚型尿频经验[J].陕西中医,2023,(10):1452.[doi:DOI:10.3969/j.issn.1000-7369.2023.10.027]
　ZHOU Huiting,QU Xin,CHU Shufang,et al.Wang Mengyong's experience in treating kidney deficiency type urinary frequency from the perspective of “supporting yang qi and storing yin fluid”[J].,2023,(8):1452.[doi:DOI:10.3969/j.issn.1000-7369.2023.10.027]
[7]鲁志林,陈继东,周广文,等.名中医向楠补肾化痰方治疗绝经后骨质疏松症经验[J].陕西中医,2024,(5):687.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.026]
　LU Zhilin,CHEN Jidong,ZHOU Guangwen,et al.Professor XIANG Nan's experience in treating postmenopausal osteoporosis with Bushen Huatan prescription[J].,2024,(8):687.[doi:DOI:10.3969/j.issn.1000-7369.2024.05.026]
[8]袁 港,龚学忠.“劳淋病”古代中医药文献记载及现代治疗现状[J].陕西中医,2025,46(1):142.[doi:DOI:10.3969/j.issn.1000-7369.2025.01.032]
　YUAN Gang,GONG Xuezhong.“Labor-induced stranguria” ancient records in traditional Chinese medicine literature and the current state of modern treatment[J].,2025,46(8):142.[doi:DOI:10.3969/j.issn.1000-7369.2025.01.032]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年科学基金资助项目(81904074); 暨南大学中医学院中医专硕临床跟师实践项目(82620551)
更新日期/Last Update: 2022-08-10