基于肝肾"疏泄-闭藏"关系论治高血压肾损害OA
Treating Hypertensive Renal Damage Based on the Liver-Kidney"Draining-Storage"Relationship
高血压肾损害(Hypertensive Nephropathy,HN)是由于长期血压增高而导致肾脏损害的一种疾病,严重威胁患者生命健康.肝肾"疏泄-闭藏"关系是肝肾相互作用的生理病理基础.该研究在对肝肾"疏泄-闭藏"关系认识的基础上,着重以该理论从病机阐释与治法探讨层面研究了 HN 的相关问题,从而更加有效地完善 HN 的病机认识,同时为其临床治疗提供新思路.通过研究,得到以下主要结论:肝肾"疏泄-闭藏"失衡是HN病发与病进之根本.并提出以潜阳育阴和血法之"培、运、通"三效纠正"疏泄-闭藏"失衡关系,即益肾培本以守平衡、运枢周流以正失衡、通络畅气以利平衡.文末附验案 1 则以佐证.
Hypertensive renal damage(HN)is a disease caused by long-term elevated blood pressure leading to kidney damage,seriously threatening patients'life and health.The Liver-Kidney"draining-storage"relationship is the physiological and pathological basis of Liver-Kidney interaction.Based on the understanding of the Liver-Kidney"draining-storage"relationship,this study focuses on researching HN-related issues from the perspectives of patho-genesis interpretation and therapeutic exploration using this theory,thereby more effectively improving the understand-ing of HN pathogenesis and providing new ideas for its clinical treatment.Through research,the therapeutic approach of"coordinating liver draining and kidney storage,balancing water and fire,and nourishing Yin to suppress Yang"is obtained.This paper elaborates the theoretical connotation of the Liver-Kidney"draining-storage"relationship,ana-lyzes its application in HN pathogenesis,and proposes corresponding treatment principles and commonly used pre-scriptions.It aims to provide theoretical basis and clinical references for the traditional Chinese medicine prevention and treatment of hypertensive renal damage.
董岳霖;马歆怡;任啸烨;金亦沁;方祝元
南京中医药大学 江苏 南京 210023南京中医药大学 江苏 南京 210023南京中医药大学 江苏 南京 210023南京中医药大学 江苏 南京 210023南京中医药大学附属医院,江苏省中医院 江苏 南京 210029
医药卫生
高血压肾损害疏泄-闭藏潜阳育阴和血法名医经验
Hypertensive renal damageLiver-Kidney relationshipDraining-storageSyndrome DifferentiationTreatment
《中医药临床杂志》 2026 (9)
1779-1782,4
江苏省科学技术厅重点研发计划社会发展项目(BE2022818)江苏省中医高血压病临床医学创新中心重点项目(苏中医科教函[2023]1号)
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