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.