[1]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):1452-1455.[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,(10):1452-1455.[doi:DOI:10.3969/j.issn.1000-7369.2023.10.027]
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名中医王孟庸从“扶阳气,存阴液”论治肾虚型尿频经验
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年10期
页码:
1452-1455
栏目:
名中医经验
出版日期:
2023-10-05

文章信息/Info

Title:
Wang Mengyong's experience in treating kidney deficiency type urinary frequency from the perspective of “supporting yang qi and storing yin fluid”
作者:
周慧婷1; 渠 昕2; 楚淑芳2; 刘斐鉴1
(1.广州中医药大学第四临床医学院,广东 深圳 518000; 2.深圳市中医院内分泌科,广东 深圳 518000)
Author(s):
ZHOU Huiting; QU Xin; CHU Shufang; LIU Feijian
(The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine,Shenzhen 518000,China)
关键词:
尿频;  肾虚;  扶阳气;  存阴液;  调理阴阳
Keywords:
Frequent urination;  Kidney deficiency;  Supporting yang qi;  Yin retention fluid;  Regulating yin and yang
分类号:
R 256.5
DOI:
DOI:10.3969/j.issn.1000-7369.2023.10.027
文献标志码:
A
摘要:
总结名中医王孟庸从“扶阳气,存阴液”论治肾虚型尿频的中医辨证思路及用药经验。王孟庸老师认为尿频以肾虚为根本病机,复加相关治疗耗损,脏腑多阴阳两虚并见,然根据其主要表现依旧沿袭肾阴虚、肾阳虚、肾阴阳两虚的分类法。治疗上应以补虚、纠正阴阳偏衰为根本要义,即所谓“扶阳气,存阴液”。王孟庸老师临床治疗常选择采用桑螵蛸、益智仁、乌药、菟丝子等扶助肾阳; 女贞子、墨旱莲、熟地、五味子等滋养肾阴。临床运用阴阳互根互用的关系,视阴阳虚损的程度,调整扶阳与存阴药物的比例关系,具体选择阳中求阴或阴中求阳来“扶阳气,存阴液”,平衡水液代谢的物质与动力关系。最终使得阴平阳秘,膀胱气化有权,尿液排泄有常。
Abstract:
The article systematically summarizes Director Wang Mengyong's traditional Chinese medicine dialectical thinking and medication experience in treating kidney deficiency type urinary frequency from the perspective of “supporting yang qi and storing yin fluid”.Director Wang Mengyong believes that the fundamental pathogenesis of frequent urination is kidney deficiency,and the combination of related treatments leads to wastage.The organs often have both yin and yang deficiency,but according to its main manifestations,it still follows the classification method of kidney yin deficiency,kidney yang deficiency,and kidney yin and yang deficiency.In treatment,the fundamental principle should be to supplement deficiency and correct the decline of yin and yang,which is called “supporting yang qi and storing yin fluid”.Director Wang Mengyong often chooses to use mulberry cuttlebone,Yizhiren,lindera root,dodder seed,etc.to assist kidney yang in clinical treatment; fructus ligustri lucidi,eclipta eclipta,radix rehmanniae praeparata,and schisandra chinensis fructus nourish kidney yin.And be good at using the relationship between yin and yang root and mutual use,depending on the degree of yin and yang deficiency,adjust the proportion of drugs that support yang and store yin,specifically choose to seek yin in yang or seek yang in yin to “support yang qi and store yin fluid”,and balance the material and dynamic relationship of water metabolism.Ultimately,it leads to the balance of yin and yang,the power of bladder gasification,and regular urine excretion.

参考文献/References:

[1] 卢启海,莫晓东,那万里.膀胱过度活动症的诊治现状和进展[J].海南医学,2020,31(11):1472-1476.
[2] 麦海星,张景云,左世栋,等.绿激光联合二甲基亚砜膀胱灌注治疗出血性膀胱炎疗效研究[J].陕西医学杂志,2021,50(1):71-74.
[3] 任亚锋,牛秋妍,王 磊,等.基于逼尿肌反射理论尿道牵伸改善神经源性膀胱患者尿道括约肌过度活动的疗效分析[J].中国康复医学杂志,2023,38(4):522-525.
[4] 马晶晶,任 路,尚德阳,等.从肾阳虚探讨中老年女性慢性尿路感染的发病机制[J].中医学报,2022,37(5):949-954.
[5] 陈 庆,张 欣,谢秀英.女性盆底功能障碍康复训练研究进展[J].陕西医学杂志,2020,49(11):1531-1533.
[6] 刘艳平,田培良.同名经取穴法结合六经辨证法治疗中风后尿频验案举隅[J].中医临床研究,2022,14(8):29-30.
[7] 王 肖,缪展康,林灿彬,等.“柔肝缓急”法论治膀胱过度活动症[J].陕西中医,2022,43(2):219-222.
[8] 王佳芳,董幼祺.董幼祺从心肾论治小儿神经性尿频经验浅析[J].江西中医药,2021,52(4):20-22.
[9] 杨 雪,盛梅笑.调摄五脏为主辨治女性尿道综合征撷要[J].江苏中医药,2021,53(11):51-54.
[10] 张登峰.三金排石汤加减联合耳穴压豆法治疗湿热下注型石淋的疗效分析[J].中国医药指南,2022,20(16):105-108.
[11] 庄 宁,罗冬艳,黄利兵,等.陈霞波从三焦气化治疗糖尿病合并慢性尿路感染经验[J].中医文献杂志,2021,39(5):66-68.
[12] 陈漫漫,詹继红.基于《素问?上古天真论》论詹继红教授治疗淋证经验[J].中国中医药现代远程教育,2022,20(1):75-77.
[13] 李铭研,黄国东.黄国东教授巧用猪苓汤治疗真菌性下尿路感染[J].广西中医药大学学报,2022,25(1):41-43.
[14] 闫丽君,潘和长.《诸病源候论》淋证相关理论浅析[J].湖北中医杂志,2022,44(3):38-41.
[15] 秦 岭,王 倩,李 平.李平辨治尿路感染经验[J].浙江中医杂志,2020,55(7):485-486.
[16] 董陈娣,张鼎君,夏冰清.基于网络药理学探讨二至丸治疗慢性肾脏病的作用机制[J].中国中西医结合肾病杂志,2022,23(5):407-410,474.
[17] 张力文,张静宇,曹 畅,等.叶天士论治淋浊特色探析[J].中国中医急症,2021,30(11):2031-2032,2040.
[18] 顾 霜,何伟明.何伟明运用中医序贯疗法治疗尿路感染经验[J].浙江中医药大学学报,2022,46(5):574-578.
[19] 李飞飞,李 颉,崔庆科,等.基于网络药理学和实验验证探讨缩泉丸用于小儿遗尿的作用机制[J].中国实验方剂学杂志,2021,27(11):213-221.
[20] 文颖娟.基于国医大师雷忠义痰瘀互结理论的临床思维启示[J].陕西中医,2020,41(7):948-950,998.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金青年基金资助项目(82104759)
更新日期/Last Update: 2023-10-09