1.湖北中医药大学中医学院,湖北省武汉市武昌区昙华林特1号,430061
2.湖北中医药大学附属医院/湖北省中医院/湖北省中医药研究院
1723426138@qq.com
收稿:2024-12-07,
修回:2025-02-20,
纸质出版:2025-08-17
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刘馥溧,巴元明.从湿论治慢性肾衰竭消化功能紊乱经验[J].中医杂志,2025,66(16):1719-1722.
LIU Fuli,BA Yuanming.Experience in Treating Digestive Dysfunction in Chronic Renal Failure from the Perspective of Dampness[J].Journal of Traditional Chinese Medicine,2025,66(16):1719-1722.
刘馥溧,巴元明.从湿论治慢性肾衰竭消化功能紊乱经验[J].中医杂志,2025,66(16):1719-1722. DOI: 10.13288/j.11-2166/r.2025.16.015.
LIU Fuli,BA Yuanming.Experience in Treating Digestive Dysfunction in Chronic Renal Failure from the Perspective of Dampness[J].Journal of Traditional Chinese Medicine,2025,66(16):1719-1722. DOI: 10.13288/j.11-2166/r.2025.16.015.
认为湿邪是导致慢性肾衰竭消化功能紊乱发病的重要病理因素,湿邪易化生、兼夹其他诸邪,痹阻气机,引发脏腑功能失调,影响脾胃运化功能,而致疾病发生。提出以祛湿调气、安和五脏为治疗原则,针对脾肾气虚夹湿证,自拟补元封藏煎益肾固精、健脾渗湿;针对湿浊蕴阻肺胃证,自拟苏连泻心汤辛开苦降、燥湿泄浊;针对湿郁化热兼脾虚肝郁证,自拟柴连温胆汤疏肝健脾、分消走泄;针对湿闭气滞、阳郁不伸证,自拟草知二陈汤化湿开郁、升阳达卫。
It is believed that dampness is a key pathological factor contributing to digestive dysfunction in chronic renal failure. Damp pathogens tend to be entangled with or transformed into other pathogenic factors, obstructing the flow of
qi
, disturbing the functions of the
zang
-
fu
organs, and impairing the spleen and stomach's transportation and transformation functions, ultimately leading to disease onset. Based on this understanding, the treatment principle emphasizes dispelling dampness, regulating
qi
, and harmonizing the five
zang
organs. For the syndrome of spleen and kidney
qi
deficiency with dampness, the self-formulated
Buyuan Fengzang Decoction
(补元封藏煎) is used to tonify the kidney, secure essence, strengthen the spleen, and eliminate dampness. For the syndrome of turbid dampness obstructing the lung and stomach, the self-formulated
Sulian Xiexin Decoction
(苏连泻心汤) is applied to open with acrid, descend with bitter, dry dampness, and discharge turbidity. For the syndrome of dampness stagnating and transforming into heat, with concurrent spleen deficiency and liver
qi
stagnation, the self-formulated
Chailian Wendan Decoction
(柴连温胆汤) is employed to soothe the liver, strengthen the spleen, and disperse the accumulation. For the syndrome of damp obstruction with
qi
stagnation and constrained
yang
, the self-formulated
Caozhi Erchen Decoction
(草知二陈汤) is used to resolve dampness, relieve constraint, raise
yang
, and promote the defensive
qi
.
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