摘要
黄元御“一气周流”理论认为脏腑气机以中土为轴、“木火金水”四象为轮动态周流。特发性膜性肾病是原发性自身免疫类肾小球疾病,病程长且部分患者会发展为终末期肾脏病,目前西医主要依靠免疫抑制剂治疗,但存在不良反应多、价格昂贵等问题。在此背景下,基于“一气周流”理论对特发性膜性肾病进行探讨,发现其病机主要是脾土不运、肝木郁滞、肺金不降、肾水失藏。正常时脾土居中焦斡旋一身之气,维持气机平衡,若脾土功能失调则打破中气平衡,使肝、肺、肾气机紊乱,湿浊、瘀血等病理产物内生滞留,引发该病。因此,治疗需从多脏腑论治。从脾论治,健运脾土恢复中气升降与中焦气机协调;从肝论治,疏肝理气保障肝气升发与气机调节;从肺论治,宣降肺气恢复水道通调;从肾论治,补肾固精平衡阴阳保障肾水功能。如此可恢复中气状态,使气机有序、“一气周流”正常,消除病理产物,治愈疾病。
HUANG Yuanyu's theory of"Qi circulation"theory holds that the organs and Qi flow dynamically around the central earth as the axis and the four elements of"wood,fire,gold,and water"as the wheels.Idiopathic membranous nephropathy is a primary autoimmune glomerular disease with a long course and some patients may develop end-stage renal disease.Currently,Western medicine mainly relies on immunosuppressive therapy,but there are problems such as multiple adverse reactions and high prices.In this context,based on the theory of"Qi circulation",this article explores idiopathic membranous nephropathy and finds that its pathogenesis is mainly characterized by spleen soil stagnation,liver wood stagnation,lung gold retention,and kidney water loss.Normally,the spleen and soil mediate the Qi of the whole body,maintaining the balance of Qi.If the function of the spleen and soil is disrupted,it will break the balance of Qi,causing disorder of the liver,lungs,and kidneys,and the accumulation of pathological products such as dampness,turbidity,and blood stasis,leading to the disease.Therefore,treatment should be based on the treatment of multiple organs.From the perspective of spleen treatment,it is important to restore the balance between the rise and fall of Qi and the coordination of the middle burner Qi mechanism by promoting the healthy movement of the spleen and soil;From the perspective of liver treatment,soothing the liver and regulating Qi to ensure the elevation of liver Qi and the regulation of Qi mechanism;Treating from the perspective of the lungs,promoting the reduction of lung Qi and restoring the circulation of waterways;From the perspective of kidney treatment,tonifying the kidneys,consolidating essence,balancing Yin and Yang,and ensuring kidney water function.This can restore the state of Qi,make the Qi flow orderly and normal,restore"Qi circulation",eliminate pathological products,and cure diseases.
作者
马小博
吕静
MA Xiaobo;LYU Jing(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China;Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,Liaoning,China)
出处
《中西医结合慢性病杂志》
2025年第1期45-49,共5页
JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE ON CHRONIC DISEASES
基金
辽宁省“兴辽英才计划”项目(XLYC20050060)。
关键词
特发性膜性肾病
一气周流理论
病因病机
中医治疗
idiopathic membranous nephropathy
Qi circulation theory
etiology and pathogenesis
traditional Chinese medicine treatment
