[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):1232-1237.[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(9):1232-1237.[doi:DOI:10.3969/j.issn.1000-7369.2025.09.016]
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从“五运权衡”思辨肾性水肿“平治于权衡”治则内涵

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
46
期数:
2025年9期
页码:
1232-1237
栏目:
学术探讨
出版日期:
2025-09-05

文章信息/Info

Title:
Exploring the therapeutic principle of “regulating equilibrium” in renal edema:A perspective from the “five circuits dynamic equilibrium”theory
作者:
王琛鑫; 卢建东; 祁爱蓉
（广州中医药大学第四临床医学院，广东 深圳 518000）
Author(s):
WANG Chenxin; LU Jiandong; QI Airong
（The Fourth Clinical College of Guangzhou University of Chinese Medicine，Shenzhen 518000，China）
关键词:
肾性水肿; 气机; 五运权衡; 平治于权衡; 治则
Keywords:
Renal edema; Qi movement; Five circuits dynamic equilibrium; Regulating equilibrium; Therapeutic principle
分类号:
R 256.51
DOI:
DOI:10.3969/j.issn.1000-7369.2025.09.016
文献标志码:
A
摘要:
肾性水肿病机复杂，临床辨治棘手。《黄帝内经》“五运权衡”理论以“高者抑之，下者举之，化者应之，变者复之”为纲，阐释天地气化动态平衡法则。人身如一小周天，五运生克失衡则脏腑气化失序，百病由生。从“五运权衡”角度出发，肾性水肿以邪郁肺闭、湿困脾遏、心亢肝郁为五运亢害，肾虚精亏、脏腑劳伤为五运不及，故针对《内经》“平治于权衡”水肿辨治总则，当以“五运权衡”四法为治：高者抑之，即制其亢盛；下者举之即补其不足；化者应之，则顺其势而从其化；变者复之，则截传变而复其原，以此调五运之枢、复气化之衡，诠释“平治于权衡”之真意。
Abstract:
Renal edema,with complex pathogenesis and challenging clinical management,is rooted in the disruption of dynamic equilibrium within the body’s Five Circuits system.The Yellow Emperor’s Inner Canon proposes the “Five circuits dynamic equilibrium” theory,guided by the principles of “suppressing the hyperactive,lifting the deficient,adapting to transformations,and reversing pathological deviations”,which governs the dynamic balance of cosmic.The human body mirrors a microcosm;imbalance in the Five Circuits’ mutual generation and restriction leads to disordered visceral qi transformation and disease.From the perspective of Five Circuits theory,renal edema arises from hyperactive Five Circuits (e.g.,lung obstruction due to pathogen stagnation,spleen dysfunction from dampness encumbrance,liver-fire hyperactivity with collateral stagnation) and deficient Five Circuits (e.g.,congenital kidney essence insufficiency,chronic visceral exhaustion).Aligning with the “regulating equilibrium” therapeutic principle,treatment strategies are structured as follows:suppressing hyperactive circuits;lifting deficient circuits;adapting to transformations;and reversing deviations.By harmonizing the Five Circuits’ pivot and restoring qi transformation equilibrium,this framework elucidates the essence of “regulating equilibrium” as a dynamic,systemic approach to renal edema.

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备注/Memo

备注/Memo:
省部共建中医湿证国家重点实验室工作站开放课题（SZGZZ20240020）；广东省中医药局科研立项课题（20201307）；深圳市可持续发展科技专项课题（KCXFZ20201221173612034）
更新日期/Last Update: 2025-09-08