主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2017, Vol. 40 ›› Issue (4): 281-283.doi: 10.3969/j.issn.1006-2157.2017.04.004

• 理论研究 • 上一篇    下一篇

从肾气丸浅谈肾实证*

孙敬辉1, 胡笑赢2, 王承龙1#   

  1. 1 中国中医科学院西苑医院 北京 100091;
    2 中国中医科学院广安门医院
  • 收稿日期:2016-10-16 出版日期:2017-04-30 发布日期:2017-04-30
  • 通讯作者: 王承龙,男,主任医师,博士生导师,研究方向:中西医结合治疗心血管疾病,E-mail:WCL796@163.com
  • 作者简介:孙敬辉,男,在读硕士生
  • 基金资助:
    *国家自然科学基金资助项目(No.81273934)

Discussion of kidney excess pattern based on kidney-qi pill*

SUN Jinghui1, HU Xiaoying2, WANG Chenglong1#   

  1. 1 Xiyuan Hospital, China Academy of Chinese Medical Science, Beijing 100091;
    2 Guang’anmen Hospital, China Academy of Chinese Medical Science
  • Received:2016-10-16 Online:2017-04-30 Published:2017-04-30

摘要: 自钱乙提出“肾主虚,无实”以来,肾无实证之说便为许多医家所推崇,然而在《黄帝内经》当中已经有了较为详细的关于肾实证脉象、症状表现和治法的记载。张仲景创立肾气丸治疗肾脏虚实夹杂之证,已经认识到了湿邪是导致肾实证的主要病因。结合当今时代特点,其病因又当以湿热和痰火为最多,在治疗上当遵循“实则泻之”的原则。

关键词: 肾气丸, 肾实证, 病因病机, 治法

Abstract: Since Qian Yi stated that kidney tends to be deficient rather than excessive, a general consensus about absence of kidney excess pattern has been reached among traditional Chinese practitioners in the ancient time. However, Huangdi’s Internal Classic (Huangdi Neijing) has specifically recorded the pulses, symptoms, manifestations, and treatments of kidney excess pattern. Shenqi Wan (Kidney-qi pill) for complex pattern of deficiency and excess, which was created by Zhang Zhongjing, demonstrated morbid dampness was the main cause of kidney excess pattern. Dampness-heat and phlegm-heat is now considered as the dominant cause. In clinical practice, the principle of “treating an excess pattern by purgation” should be followed.

Key words: kidney qi pill, kidney-excess pattern, etiology and pathogenesis, treatment method

中图分类号: 

  • R223.1+1