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张雨翰, 王佳欣, 戴家炜, 赵翌辰, 李冀.基于“肾与三焦相通”理论辨治高血压肾病[J].湖南中医药大学学报英文版,2025,45(9):1693-1697.[Click to copy
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| 基于“肾与三焦相通”理论辨治高血压肾病 |
| 张雨翰,王佳欣,戴家炜,赵翌辰,李冀 |
| (黑龙江中医药大学, 黑龙江 哈尔滨 150040) |
| 摘要: |
| 高血压肾病是临床复杂性、难治性疾病。本文基于“肾与三焦相通”理论，阐述二者在结构上膜系相通、经络交汇，在功能上协同藏运精气、调节水液代谢、疏泄相火。将高血压肾病的病因病机归纳为肾与三焦藏泄精气失职、肾与三焦水液代谢失常、肾与三焦制衡相火失调。并立足方药提出高血压肾病的治疗应以恢复肾与三焦的功能为主，从填补肾精、补益原气，温肾助阳、疏利三焦，滋养肾阴、敛降相火三方面切入。并附验案一则，以期为治疗高血压肾病提供新思路。 |
| 关键词: 高血压肾病 肾与三焦相通 三焦 藏运精气 水液代谢 疏泄相火 |
| DOI：10.3969/j.issn.1674-070X.2025.09.014 |
| Received:June 16, 2025 |
| 基金项目:全国名中医传承工作室建设项目(国中医药办人教函[2022]245号)。 |
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| Pattern differentiation and treatment of hypertensive nephropathy based on the theory of “correlation between the kidney and sanjiao” |
| ZHANG Yuhan, WANG Jiaxin, DAI Jiawei, ZHAO Yichen, LI Ji |
| (Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China) |
| Abstract: |
| Hypertensive nephropathy is a clinically complex and refractory disease. Based on the theory of "correlation between the kidney and sanjiao," this article elaborates on their structural connections, including shared membrane systems and intersecting meridians, as well as their functional collaborations in storing and transporting essence qi, regulating water and fluid metabolism, and dispersing and discharging ministerial fire. The etiology and pathogenesis of hypertensive nephropathy are summarized as dysfunction in the storage and excretion of essence qi by the kidney and sanjiao, disturbances in water and fluids metabolism involving the kidney and sanjiao, and imbalances in the regulation of ministerial fire between the two. From the perspective of herbal formulas, it is proposed that the treatment of hypertensive nephropathy should primarily focus on restoring the functions of the kidney and sanjiao, addressing three key aspects: replenishing kidney essence and tonifying Yuan-primordial qi,warming the kidney to assist yang and dredging the sanjiao, and nourishing kidney yin and descending ministerial fire. A verified medical record is also included to provide new insights for the treatment of hypertensive nephropathy. |
| Key words: hypertensive nephropathy correlation between the kidney and sanjiao sanjiao storing and transporting essence qi water and fluid metabolism dispersing and discharging ministerial fire |
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