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

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2021, Vol. 44 ›› Issue (4): 302-307.doi: 10.3969/j.issn.1006-2157.2021.04.003

• Theoretical Studies • Previous Articles     Next Articles

Treating kidney excess patterns by treating liver based on the theory of liver governing free coursing

Gao Hedan, Li Honghai, Ma Yuexiang#   

  1. Shandong University of Traditional Chinese Medicine, Shandong 250300, China
  • Received:2020-10-13 Published:2021-04-29
  • Contact: Corresponding author: Prof.Ma Yuexiang, Doctoral Supervisor. College of Traditional Chinese Medicine, Shandong University of Traditional Chinese Medicine. Building 30, Renheyuan, Changqing District, Jinan City, Shandong 250300. E-mail:myx1008@126.com

Abstract: Since Qian Yi of Song Dynasty stated that “kidney deficiency patterns predominate over excess patterns”, kidney excess patterns have been rarely mentioned, thus they are far from fully understood in clinical practice. Their etiology and pathogenesis were unclear, and treatment effects were unsatisfactory. Studies have shown that the prevalence rate of kidney excess patterns is increasing in modern times. Based on research on literature and ancient books, the author analyzed the kidney excess patterns based on the theory of liver governing free coursing, which has a close correlation with kidney's storing fucntion and kidney excess patterns. Liver governs free coursing, regulating the kidney essence accumulation and the opening and closing of kidney qi. Liver failing to govern free coursing with liver qi stagnation could result in kidney failing to store, kidney water imbalnce and obstruction of orifices and channels. Kidney qi movement is thus disordered, leading to obstruction of pathogenic factors in kidney. Such kidney excess patterns are characterized by fullness, stuffiness, obstruction and blockage. Qi stagnation is the major underlying mechanism. Therefore, it is proposed that liver failing to govern free coursing is the main pathogenesis of kidney excess patterns. Treatment methods are to soothe the liver, regulate qi, relieve depression, regulate heart and calm mind, activate blood circulation and remove blood stasis, warm yang and disperse cold, etc. By restoring the liver's ability to regulate the qi movement, kindey qi stagnation can be resolved, and kidney excess pattern can be rectified.

Key words: kidney excess syndrome, liver governing free coursing, kidney governing storage, liver failing to govern free coursing, liver-soothing method

CLC Number: 

  • R242