Exploration of the theory of the simultaneous regulation of body, qi, and spirit in chronic kidney disease based on the concept of integrating body, qi, and spirit

REN Xuelei; YANG Liping; WANG Yuyang; MAO Huimin; MA Fang; TANG Wenli; ZHANG Yue; ZHAN Yongli

doi:10.3969/j.issn.1006-2157.2023.08.006

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Exploration of the theory of the simultaneous regulation of body, qi, and spirit in chronic kidney disease based on the concept of integrating body, qi, and spirit

Theoretical Studies | 更新时间：2023-09-08

- Exploration of the theory of the simultaneous regulation of body, qi, and spirit in chronic kidney disease based on the concept of integrating body, qi, and spirit
- Journal of Beijing University of Traditional Chinese Medicine Vol. 46, Issue 8, Pages: 1094-1099(2023)
- 作者机构：
  
  1.中国中医科学院广安门医院　北京　100053
  2.中国中医科学院广安门医院南区
- 作者简介：
  
  Prof. ZHAN Yongli, Chief Physician, Doctoral Supervisor. Guang’anmen Hospital, China Academy of Chinese Medical Sciences, No.5, Beixiange Street, Xicheng District, Beijing 100053. E-mail: zhanyongli88@sina.com
- 基金信息：
  
  National Natural Science Foundation of China(82074393;82204905;82205094);Public Welfare Fund Projects for Central Scientific Research Institutes(ZZ13-YQ-025)
- DOI：10.3969/j.issn.1006-2157.2023.08.006
  CLC： R256.5
- Received：20 October 2022，
  
  Online First：06 June 2023，
  
  Published：30 August 2023
- 稿件说明：
移动端阅览
REN Xuelei, YANG Liping, WANG Yuyang, et al. Exploration of the theory of the simultaneous regulation of body, qi, and spirit in chronic kidney disease based on the concept of integrating body, qi, and spirit[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(8): 1094-1099.
DOI：

REN Xuelei, YANG Liping, WANG Yuyang, et al. Exploration of the theory of the simultaneous regulation of body, qi, and spirit in chronic kidney disease based on the concept of integrating body, qi, and spirit[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023, 46(8): 1094-1099. DOI： 10.3969/j.issn.1006-2157.2023.08.006.

摘要

从古代哲学视角的形、气、神内涵，阐述中医学形气神一体化生命观。形气神间的动态协调失衡是慢性肾脏病发生的内在原因，本文基于此阐述慢性肾脏病形气神同调的临床辨治理念。调形为先，旨在调理病体，调有形之形以治疗慢性肾脏病的症状及体征，调无形之形以滋化源、截病势，体现朴素的辨病辨证观。调气为要，慢性肾脏病1～2期重在调整肺、脾、肝、肾气化功能，3～5期重在蠲除浊毒以复气化，蕴含一元的恒动变化观。调神为制，是以药物调神和八段锦导引等非药物调神，共同优化慢性肾脏病的慢病管理，内核为御摄形气的整体观。慢性肾脏病形气神同调，以延缓病情进展，探索慢性肾脏病的临床治疗新思维。

Abstract

From the perspective of body

and spirit in ancient philosophy

this article elaborates on the integrated life concept of body

and spirit in traditional Chinese medicine. The dynamic coordination imbalance among the body

and spirit is the inherent cause of the occurrence of chronic kidney disease

and based on this

the clinical differentiation and treatment concept of chronic kidney disease with the harmony of body

and spirit is elucidated. Taking body adjustment as the first priority aims to regulate the sick organisms

regulating the tangible body to treat the symptoms and signs of chronic kidney disease

regulating the intangible body to nourish the source

cutting off the disease tendency

and reflecting the simple concept of disease differentiation and syndrome differentiation. Regulating qi is essential

in the stages 1-2 of chronic kidney disease

the focus is on regulating the qi transformation of the lung

spleen

liver

and kidney

while in the stages 3-5

the focus is on eliminating turbid toxins to restore qi transformation

containing a unified concept of constant movement and change. The principle of regulating the spirit is to optimize the management of chronic kidney disease through pharmacological method and non-pharmacological method such as

baduanjin

and the core is a holistic view of regulating the body and qi. The purpose of the simultaneous regulation of body

and spirit is to explore new clinical treatments for chronic kidney disease

which can help delay the progression of the disease.

关键词

Keywords

references

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