金匮肾气丸在慢性肾功能不全治疗中应用探讨

发布时间：2018-01-05 20:24

本文关键词：金匮肾气丸在慢性肾功能不全治疗中应用探讨　出处：《中华中医药杂志》2017年07期 　论文类型：期刊论文

【摘要】：金匮肾气丸中隐藏着张仲景的几大治肾原则,蕴含了《黄帝内经》"化不可代"思想,其组方思路可很好指导慢性肾功能不全的治疗,厘正了祛邪要服从于扶正的关系。慢性肾功能不全患者肾虚是五脏亏虚的基础,肾虚又以肾精亏虚为核心,肾气、肾阳、肾阴化生乏源,进一步引起痰湿、瘀血留滞肾络,具有因虚致实,虚气留滞的病机特点。金匮肾气丸组方思路启示慢性肾功能不全治疗应竣补肾精以治形质,补肾应结合涩补精气,佐以利湿化瘀以通补精气,结合清浮游相火以清补肾气。
[Abstract]:Jinkuishenqiwan hidden in several Dazhi Zhang Zhongjing's principle of kidney, contains < Neijing > "non generation" thought, the idea is a good prescription to guide the treatment of chronic renal insufficiency, to improve the relationship between Quxie should be subordinated to the right. In patients with chronic renal insufficiency of kidney deficiency is the basis of the five dirty the deficiency of the kidney, the kidney essence deficiency as the core, kidney, kidney yang, Yin metaplasia deficiency, phlegm stasis caused further, left renal collaterals is caused by virtual reality, the virtual gas lag characteristics of pathogenesis. Shenqi Pill recipe idea of chronic renal insufficiency from Jinkui kidney essence therapy should be completed in order to treat kidney form, should be combined with the astringent Invigorating Qi, accompanied by dampness stasis through Invigorating Qi, tonifying kidney qi combined with clear fire to clear the planktonic phase.

【作者单位】：北京中医药大学;北京中医药大学东直门医院;
【基金】：2013北京市科委课题(No.D131100004713004)~~
【分类号】：R277.5
【正文快照】： 金匮肾气丸是张仲景治疗肾气虚衰、津液代谢失常的主要方剂,原文论治共4条:消渴、微饮、转胞、脚气,病机均为肾气亏虚,水液代谢失常所致。慢性肾功能不全的主要病机亦是肾气虚衰,津液失于代谢而致的痰、湿、浊、瘀邪内生,肾气丸的组方思路与此病机颇为一致,临床以此方加减化裁

【参考文献】