[1]王咸宁,张晓凤,程小红,等.基于文献研究的肾性水肿思路探析[J].陕西中医,2023,(2):220-223.[doi:DOI:10.3969/j.issn.1000-7369.2023.02.019]
 WANG Xianning,ZHANG Xiaofeng,CHENG Xiaohong,et al.Analysis of renal edema based on literatures research[J].,2023,(2):220-223.[doi:DOI:10.3969/j.issn.1000-7369.2023.02.019]
点击复制

基于文献研究的肾性水肿思路探析

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年2期
页码:
220-223
栏目:
学术探讨
出版日期:
2023-02-05

文章信息/Info

Title:
Analysis of renal edema based on literatures research
作者:
王咸宁1 张晓凤2 程小红2呼兴华3卢芬萍3 高 原3王晓琳3
(1.陕西中医药大学,陕西 咸阳712046; 2.陕西省中医医院肾病科,陕西 西安 710003; 3.陕西省中医药研究院文献信息研究所,陕西 西安 710004)
Author(s):
WANG XianningZHANG XiaofengCHENG XiaohongHU XinghuaLU FenpingGAO YuanWANG Xiaolin
(Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
肾性水肿 文献研究 外邪 内虚 外感病
Keywords:
Renal edema Literature research External evil Internal deficiency Exogenous diseases
分类号:
R 256.51
DOI:
DOI:10.3969/j.issn.1000-7369.2023.02.019
文献标志码:
A
摘要:
通过对中医药古籍代表著作的梳理,探究肾性水肿的病因病机、治法方药等思路方法。如《内经》提出肾性水肿与外邪、内虚有关,并且确立治则治法; 《难经》初步确立三焦、命门与肾性水肿的关系; 《伤寒论》重视外感病合并水肿的治疗; 《金匮要略》定义肾水,重视脉象; 《诸病源候论》广揽医籍,以脾肾俱虚立论,关注预后; 《千金要方》收载药食针穴,重视食疗; 《外台秘要》引经据典,总结水肿证因脉治; 《针灸甲乙经》整理针刺处方,重视保护胃气等。经过系统梳理后发现,历代医著对肾性水肿辨治框架基本完善,兼顾食疗摄养,为后世医家辨治奠定了理论基础。
Abstract:
By combing through the representative works of ancient Chinese medicine,we explore the etiology and pathogenesis of renal edema,treatment methods,prescriptions and other ideas and methods.For example,“Nei Jing” proposes that renal edema is related to external evil and internal deficiency,and establishes the treatment rules and methods; “Difficult Classic” initially establishes the relationship between Sanjiao,Mingmen and renal edema; “Treatise on Typhoid” pays attention to the treatment of edema combined with exogenous diseases; “Jinkui Yaolue” defines renal water and pays attention to pulse; “Treatise on the Origin of the Diseases” extensively summarizes medical texts,and establishes the theory based on the deficiency of both spleen and kidney,and pays attention to the prognosis; “Qianjin Yaofang” contains medicine,food and acupuncture points,and pays attention to food therapy “The Secret Principles of Wai Tai” quotes scriptures and summarizes the causes of edema and pulse treatment.“The Secret Principles of Wai Tai” summarizes the causes and treatment of edema according to the scriptures; the acupuncture and moxibustion organizes the prescription of acupuncture and attaches importance to the protection of stomach qi.After systematization,it is found that after a systematic review,the framework for the treatment of nephrogenic edema has been basically perfected in the medical writings of the past generations,taking into account food therapy and nutrition,which laid the theoretical foundation for the treatment of later generations of doctors.

参考文献/References:

[1] 杨盛智,吕 静.提壶揭盖法治疗肾性水肿的研究进展[J].实用中医内科杂志,2021,35(5):37-39.
[2] 谌贻璞,陈洪宇,刘宝利,等.肾性水肿的中西医结合诊断与治疗[J].中国中西医结合肾病杂志,2020,21(9):843-846.
[3] 白潇敏,杨洪涛.《黄帝内经》肾性水肿相关病名考辨[J].中国中西医结合肾病杂志,2014,15(1):93-94.
[4] 侯海晶,王永生,卢富华.“风能胜湿”理论在肾性水肿中的运用[J].安徽中医药大学学报,2015,34(4):5-7.
[5] 范晓燕,任红艳.《黄帝内经》对水肿病机的探析[J].河南中医,2018,38(10):1473-1475.
[6] 闫 明.缪刺针法的文献研究[D].济南:山东中医药大学,2016.
[7] 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.
[8] 钱会南.《难经》命门之论及临床应用[J].安徽中医药大学学报,2015,34(1):1-3.
[9] 曾莉蓉,黄 飞,魏文斌.对《巢氏诸病源候论》有关肾系病病因病机的浅析[J].湖北民族学院学报:医学版,2012,29(1):79-80,82.
[10] 周玉政,杨玉兰.汉唐时期水肿病证治规律文献研究[J].山西中医,2015,31(4):45-46,48.
[11] 赵耀东,韩豆瑛,刘 强,等.《针灸甲乙经》论治肾风理论研究[J].甘肃中医药大学学报,2016,33(5):19-21.
[12] 付 琳,向光维,李小会.《伤寒论》六经辨证与肾性水肿[J].吉林中医药,2020,40(1):48-51,55.
[13] 张小云,马红珍.《伤寒论》治疗肾性水肿九法[J].浙江中医药大学学报,2006,27(3):229-230.
[14] 胡 霞,于朝春,张文雯.五苓散在神经重症并发水液代谢障碍治疗中的应用进展[J].陕西中医,2021,42(11):1648-1651.
[15] 姚衎一,姬 玉,乔 影,等.浅谈孙思邈诊治水肿特色[J].世界最新医学信息文摘,2018,18(45):225-226.
[16] 孙明新,石 芳,赵 鑫,等.窦材《扁鹊心书》固护脾肾思想探析[J].时珍国医国药,2021,32(1):159-161.
[17] 汪 丹.《外台秘要方》对水肿病证治研究发展的贡献[J].现代中医药,2004,26(3):11-12.
[18] 赵文娟,杨洪涛.孙思邈及王焘治疗水肿经验探析[J].河南中医,2014,34(6):1036-1037.
[19] 邓 勇,王旭光.吴仪洛生平及其《成方切用》学术特色浅析[J].中国中医基础医学杂志,2012,18(12):1304-1305.
[20] 吴宁川,叶 瑜.《类证活人书》阴阳汗下补正发微[J].亚太传统医药,2017,13(6):73-74.(收稿:2022-09-30)

相似文献/References:

[1]王琛鑫,卢建东,祁爱蓉.从“五运权衡”思辨肾性水肿“平治于权衡”治则内涵[J].陕西中医,2025,46(9):1232.[doi:DOI:10.3969/j.issn.1000-7369.2025.09.016]
 WANG Chenxin,LU Jiandong,QI Airong.Exploring the therapeutic principle of “regulating equilibrium” in renal edema:A perspective from the “five circuits dynamic equilibrium”theory[J].,2025,46(2):1232.[doi:DOI:10.3969/j.issn.1000-7369.2025.09.016]

备注/Memo

备注/Memo:
基金项目:国家重点研发计划中医药现代化研究项目(2019YFC1709404)
更新日期/Last Update: 2023-02-08