基于“血不利则为水”论治肾劳病水肿

Treating Edema in Kidney Consumption Disorder Based on the Theory of "Blood Stasis Inducing Water"

  • 摘要: 基于张仲景“血不利则为水”理论,结合肾劳病水肿“流缓-滞泣-郁积-瘀结”四期病机演变规律,探讨分期论治策略。提出温肾益精以固本元、活血利水以祛标邪的复合治法:流缓期温补肾阳、通阳利水;滞泣期温肾益精、活血通络;郁积期活血化瘀、理气化浊、温肾填精;瘀结期去菀陈莝、精血同治。通过分期干预,为中医辨治肾劳病水肿提供新的治疗思路与方法。

     

    Abstract: Guided by Zhang Zhongjing's axiom that "blood stasis induces water", this study develops stage-specific treatment strategies for edema in Kidney Consumption Disorder by examining its four-stage pathogenic progression: Sluggish Flow → Stagnant Obstruction → Depressed Accumulation → Stasis Congelation. We propose an integrated approach that reinforces the root by warming the kidney and replenishing essence, while addressing the branch by activating blood circulation and promoting diuresis. Stage-specific interventions include: for the Sluggish Flow Phase, warming and tonifying kidney Yang combined with unblocking Yang to promote urination; for the Stagnant Obstruction Phase, warming the kidney and replenishing essence supported by activating blood circulation and freeing the collateral channels; for the Depressed Accumulation Phase, quickening blood and resolving stasis, regulating Qi and transforming turbidity, along with warming the kidney and strengthening essence; and for the Stasis Congelation Phase, expelling stagnant accumulations while simultaneously regulating essence and blood. This framework advances novel pattern-determined strategies for Kidney Consumption edema management.

     

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