摘要
肾结石是矿物质和盐类(主要是钙、草酸、尿酸、胱氨酸等)在肾脏内形成的坚硬沉积物。这些矿物质和盐类在尿液中的溶解度降低时,会析出结晶并逐渐增大,最终形成肾结石。王建华副教授认为其在中医中属“石淋”范畴,石淋的中医病因病机为下焦积热、煎熬水液,临床治疗肾结石应以清热利湿、通淋排石为主,根据患者症状的不同进行辨证,对不同证型给予相应治法方药。本文结合古籍,依据王师临床实践,对其论治肾结石的经验予以总结。
Nephrolithiasis is hard deposits formed by minerals and salts(mainly calcium,oxalic acid,uric acid,cystine,etc.)in the kidneys.When the solubility of these minerals and salts in the urine decreases,they precipitate crystals and gradually increase in size,eventually forming nephrolithiasis.Professor Wang believes that in traditional Chinese medicine,nephrolithiasis belongs to the category of"urolithiasis"whose etiology and pathogenesis are caused by heat accumulation in the lower jiao and dried and concentrated body fluids.The main clinical approaches to nephrolithiasis should be clearing heat and promoting diuresis,freeing strangury,and removing urinary calculi.The treatment should be tailored to the symptoms of patients,and different therapeutic methods and prescriptions should be applied according to the syndrome types.Based on Professor Wang's clinical practice and ancient literature,this article summarized Professor Wang's experience in the treatment of nephrolithiasis.
作者
乔馨怡
孟亚琼
王建华
QIAO Xinyi;MENG Yaqiong;WANG Jianhua(College of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Wuhan 430000,China;Department of Nephrology,Traditional Chinese Medicine Hospital Affiliated to Hubei University of Chinese Medicine/Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430000,China)
出处
《基层中医药》
2025年第5期7-11,共5页
Basic Traditional Chinese Medicine
关键词
石淋
肾结石
清热利湿
通淋排石
urolithiasis
nephrolithiasis
clearing heat and promoting diuresis
freeing strangury and removingurinary calculus
