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孔薇从"轻可去实"治疗慢性肾脏病OA

Kong Wei Treating Chronic Kidney Disease Based on"Qing Ke Qu Shi"Concept

中文摘要英文摘要

"轻可去实"源于《黄帝内经》,经历代医家不断延伸发展,可包含诸多含义:药物味薄质轻;药味精少;药量宜小;不宜久煎;治法轻灵.慢性肾脏病以肾虚为本,浊毒为标,"轻可去实"治以平补平泻,符合肾虚病机,且无伤正之弊.药物、治法轻灵,味多甘淡平和,适合长期服用,依从性佳,宜于慢性病缓治,以平为期.孔薇认为,临证当分清虚实,以轻去实,上焦利咽宣肺,疏风散邪;中焦醒脾理肝,通腑泄浊;下焦益肾清利.三焦湿毒以风胜湿,瘀水同治,以扶正祛邪,治病求本.

"Qing Ke Qu Shi"concept originates from Huang Di Nei Jing and has been continuously developed and extended by genera-tions of doctors.It can include multiple meanings:medicines that are light in flavor and weight;a small amount of medicinal kind;the small dosage;not suitable for prolonged decoction;gentle and agile in treatment method.Chronic kidney disease is based on Kidney defi-ciency with Turbidity and Toxin as the symptoms."Qing Ke Qu Shi"treatment employs balanced tonification and purgation methods,a-ligning with the pathogenesis of Kidney deficiency without harming the body's vital energy.Specifically,the medicines and methods are gentle,mostly sweet,bland,and mild in taste,suitable for long-term use,with good compliance,and appropriate for the gradual treat-ment of chronic diseases,aiming for Yin-Yang balance.Kong Wei believes that in clinical practice,deficiency and excess should be clearly distinguished.To remove excess with lightness:benefit the throat and promote the Lungs in the Upper Jiao,disperse Wind and e-liminate pathogens;awaken the Spleen and regulate the Liver in the Middle Jiao,unblock the Fu and lower Turbidity;benefit the Kidney and clear Turbidity in the Lower Jiao.For Dampness in the Three Jiao,Wind dispelling drugs can be used to remove stasis and Water simultaneously,to support the vital energy and eliminate pathogens,treating disease from the root.

徐婷婷;孔薇

南京中医药大学研究生院,江苏 南京 210023南京中医药大学附属南京中医院肾病科,江苏 南京 210003

医药卫生

慢性肾脏病"轻可去实"利咽宣肺疏风散邪醒脾理肝益肾清利孔薇

chronic kidney disease"Qing Ke Qu Shi"benefiting the throat and promoting the Lungdispersing Wind and eliminating Evil Factorawakening the Spleen and regulating the Liverbenefiting the Kidney and clearing TurbidityKong Wei

《中医学报》 2026 (5)

1079-1083,5

江苏省名老中医药专家传承工作室建设项目

10.16368/j.issn.1674-8999.2026.05.160

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