[1]刘佳诚,郝 娜.从“水渍三焦”理论探讨腹膜透析并发症病机[J].陕西中医,2022,(11):1592-1595.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.024]
　LIU Jiacheng,HAO Na.Probe into the pathogenesis of peritoneal dialysis complications from the theory of “Water-stained Sanjiao”[J].,2022,(11):1592-1595.[doi:DOI:10.3969/j.issn.1000-7369.2022.11.024]
点击复制

从“水渍三焦”理论探讨腹膜透析并发症病机
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年11期
页码:
1592-1595
栏目:
学术探讨
出版日期:
2022-11-05

文章信息/Info

Title:
Probe into the pathogenesis of peritoneal dialysis complications from the theory of “Water-stained Sanjiao”
作者:
刘佳诚1; 2; 郝 娜2
(1.天津中医药大学,天津 301617; 2.天津中医药大学第一附属医院 国家中医针灸临床医学研究中心,天津 300073)
Author(s):
LIU Jiacheng; HAO Na
(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
关键词:
腹膜透析并发症;  水渍三焦;  病机;  取象比类;  炎症反应
Keywords:
Complications of peritoneal dialysis;  Water-stained Sanjiao;  Pathogenesis;  Image analogy;  Inflammation reaction
分类号:
R 459.5
DOI:
DOI:10.3969/j.issn.1000-7369.2022.11.024
文献标志码:
A
摘要:
“水渍三焦”是基于“腹膜属于三焦范畴”,在中医“取象比类”思维下提出的理论,旨在从中医角度解释腹膜透析并发症的根本病机,为其防治提供思路。水渍三焦理论认为,腹膜透析作为肾替代治疗的一个重要手段,其本身也是一种致病因素,透析液进出腹膜腔的过程,正如“水渍房屋,水退湿存”,水湿之邪侵犯三焦,引起三焦气化、转运水谷等功能发生障碍,进而影响心、肺、脾、肾、胃、肠、膀胱等多重脏腑机能,兼之慢性肾衰竭患者多有脾肾虚损,故种种相关并发症由此产生。此外,提出腹膜微炎症状态或为“水渍三焦”病理实质。
Abstract:
The theory of “Water-stained Sanjiao”,based on the view that the peritoneum belongs to the category of Sanjiao and put forward under the thinking of “image analogy” in traditional Chinese medicine,aims to explain the fundamental pathogenesis of peritoneal dialysis complications from the perspective of traditional Chinese medicine and provide ideas for its prevention and treatment.This theory believes that peritoneal dialysis,as an important means of renal replacement therapy,is itself a pathogenic factor.The process of dialysate in and out of the peritoneal cavity is like water soaks the house and then goes back.Water dampness invades the Sanjiao,causing dysfunctions such as energization and water transfer,which in turn affects the heart,lung,spleen,kidney,stomach,intestines,bladder and other multiple organ functions.Also,patients with chronic renal failure often suffer from spleen and kidney deficiency.Related complications arise from this.In addition,the article proposes that the peritoneal micro-inflammatory state may be the essence of “Water-stained Sanjiao”.

参考文献/References:

[1] 陈塑宇,李春苹,汪 剑.张锡纯三焦膜原理论探析[J].北京中医药,2021,40(12):1366-1369.
[2] 洪 涛,赵志伟,田永衍,等.从《黄帝内经》理论认识三焦实质[J].河西学院学报,2021,37(2):40-43.
[3] 陈启兰,龚一萍,祝光礼,等.“三焦”实质探幽[J].北京中医药大学学报,2013,36(5):311-313.
[4] 江 泳,陈建杉,陈文娟.陈潮祖教授论心包与少阳三焦实质[J].四川中医,2004,22(5):2-3.
[5] 孔光一,赵岩松,严季澜,等.少阳三焦膜系病机探讨[J].北京中医药大学学报,2011,34(3):149-150,158.
[6] 李洪海,韩 琦,李 萍,等.从膜谈三焦实质[J].中华中医药杂志,2018,33(7):2846-2848.
[7] 马子密,贾春华.取象比类——中国式隐喻认知模式[J].世界科学技术-中医药现代化,2012,14(5):2082-2086.
[8] 王 琦.取象运数的象数观[J].中华中医药杂志,2012,27(2):410-411.
[9] 谢 菁,贾春华.从认知角度看中医语言的容器隐喻[J].中医药学报,2012,40(2):1-4.
[10] 张 羽,黄美祯,潘春曲,等.谢胜名中医从三焦论治胃食管反流病经验[J].陕西中医,2022,43(1):100-103,136.
[11] 张 朵,黄开颜,梅景雁,等.万晓刚教授基于三焦升降论治疗水肿病经验与应用[J].陕西中医,2021,42(10):1448-1451.
[12] 邵命海,何立群,杨雪军.939例慢性肾衰竭患者中医证候临床调查研究[J].上海中医药杂志,2009,43(3):20-22.
[13] 郑平东.慢性肾衰竭病因病机与临证辨治[J].上海中医药大学学报,2008,22(2):1-3.
[14] 王海燕,赵明辉.肾脏病学[M].4版.北京:人民卫生出版社,2020:2052-2105.
[15] 姜 欣,谷晓红.中医辨治腹膜炎的新思考[J].中华中医药杂志,2021,36(1):90-92.
[16] 高 磊,涂元宝,李传平,等.加减大柴胡汤治疗腹膜透析相关性腹膜炎临床研究[J].中西医结合心血管病电子杂志,2018,6(15):133-134.
[17] 高立轩,俞东容,姜 飞.慢性肾脏病微炎症状态研究进展[J].浙江中西医结合杂志,2021,31(9):880-882.
[18] 李 娟,卢婉君,龚书豪,等.慢性肾衰竭腹膜透析患者微炎症状态的研究进展[J].南昌大学学报:医学版,2021,61(3):80-83.
[19] 杨端云,伍玉娟,史 伟,等.腹膜透析微炎症状态诱导腹膜损伤的中医治疗策略[J].中华肾病研究电子杂志,2019,8(5):230-233.
[20] 王 涵,俞雨生.微炎症状态与腹膜透析[J].肾脏病与透析肾移植杂志,2012,21(2):183-189.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(81904141)
更新日期/Last Update: 2022-11-09