时逸人运用张仲景学术思想治疗肾病经验探微OA

SHI Yiren,a renowned traditional Chinese medicine(TCM)practitioner in China,advocated the integration of Chinese and Western medicine,the combined use of cold and warm therapies,the principle of formula following method,and placed particular emphasis on tongue diagnosis,demonstrating distinctive academic characteristics.He held unique insights into the diagnosis and treatment of kidney diseases,underscoring the guidance of ZHANG Zhongjing's academic thoughts in differentiating and treating acute and chronic nephritis.Based on SHI Yiren's academic framework,this paper systematically explores his application of ZHANG Zhongjing's theory of water qi disorders to guide the principles and methods of nephropathy treatment from three perspectives:differentiating Taiyang and Shaoyin to distinguish acute from chronic conditions;following the principles of'opening the sweat pores,clearing the bladder,and removing blood stasis';and strengthening the root,consolidating vital qi,while integrating cold and warm therapies.The study reveals that SHI Yiren frequently employed Mahuang(Ephedra)-containing formulas to ventilate the lung and promote diuresis during the edematous stage of acute nephritis,whereas in chronic nephritis,he focused on warming yang and strengthening the kidney,resolving stasis and promoting diuresis.He emphasized the simultaneous treatment of the lung,spleen,and kidney,paid close attention to the differentiation and treatment of proteinuria and hematuria,and integrated the theories of cold-induced and warm-febrile diseases,flexibly adapting classical and later formulas.This paper aims to summarize SHI Yiren's experience in treating kidney diseases using ZHANG Zhongjing's academic thoughts,thereby providing theoretical basis and therapeutic strategies for modern TCM clinical practice in kidney disease.