Treatment of renal diseases with "bitterness firming kidney"

ZHOU Shaofeng; WANG Yaoxian; ZHENG Huijuan; CHEN Huixi; SUN Weiwei; LIU Weijing

doi:10.3969/j.issn.1006-2157.2023.04.019

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Treatment of renal diseases with "bitterness firming kidney"

Clinical Studies | 更新时间：2023-05-09

- Treatment of renal diseases with "bitterness firming kidney"
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 4, Pages: 572-576(2023)
- 作者机构：
  
  1.北京中医药大学东直门医院　北京　100700
  2.北京中医药大学
- 作者简介：
  
  Pro.WANG Yaoxian, Ph.D., Chief Physician, Doctoral Supervisor. Beijing University of Chinese Medicine, 11 North Third Ring East Rd, Chaoyang District, Beijing 100029. E-mail: wyx3203@sina.com
- 基金信息：
  
  National Natural Science Foundation of China(82174342;U22A20373)
- DOI：10.3969/j.issn.1006-2157.2023.04.019
  CLC： R221
- Received：08 November 2022，
  
  Published：30 April 2023
- 稿件说明：
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ZHOU Shaofeng, WANG Yaoxian, ZHENG Huijuan, et al. Treatment of renal diseases with "bitterness firming kidney"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(4): 572-576.
DOI：

ZHOU Shaofeng, WANG Yaoxian, ZHENG Huijuan, et al. Treatment of renal diseases with "bitterness firming kidney"[J]. Journal of beijing university of traditional chinese medicine, 2023, 46(4): 572-576. DOI： 10.3969/j.issn.1006-2157.2023.04.019.

摘要

“苦坚肾”是《黄帝内经》依据肾藏精的生理特性而提出的治疗法则。本文结合历代医家对“苦坚肾”的认识，总结了“苦坚肾”的具体内涵包括苦能坚阴、苦寒潜阳、微苦滋阴及相应代表方药和临证运用。其治疗核心以顾护肾藏精气为根本，苦寒祛邪以坚阴，或潜阳交肾以固阴，或微苦入肾以滋补肾中阴精。进而以肾系疾病为例，梳理了“苦坚肾”代表方药在治疗泌尿系统感染、糖尿病肾病及缓解慢性肾脏病激素治疗副作用中的具体运用，以启发基于经典的中医思维指导现代肾系疾病的中医临床诊治思路。

Abstract

"Bitterness firming kidney" is a therapeutic principle proposed in the

Huangdi Neijing

in accordance with the physiological characteristics of kidney storing essence. Based on the understanding of physicians in past dynasties on "bitterness firming kidney

" this paper summarizes the specific connotation of "bitterness firming kidney

" which includes medicinals bitter in taste strengthening kidney yin

bitter and cold medicinals subduing hyperactivity of liver yang

slightly bitter medicinals nourishing yin

and corresponding representative prescriptions and clinical application. The core of the treatment is to take care of the kidney essence and qi

including bitter and cold medicinals eliminating pathogenic factors to strengthen kidney yin or subduing hyperactivity of liver yang cross kidney to solidify yin

or to use slightly bitter medicinals to nourish the kidney yin essence. Then

taking kidney diseases as an example

a specific "bitterness firming kidney" formula is applied to treat urinary tract infection

diabetic nephropathy

and chronic kidney disease to alleviate the side effects of hormone therapy

so as to improve clinical diagnosis and treatment of kidney diseases through classical traditional Chinese medicine.

关键词

Keywords

references

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