从三焦论治慢性肾脏病理论探讨

三焦作为六腑之一,是通行水、气和火的通路,与肾具有密切的生理病理性联系。三焦失调是引起慢性肾脏病(chronic kidney disease,CKD)肾阳亏虚、气机逆乱,以及痰湿、血瘀、浊毒等病理产物形成的重要病机,通调三焦法则需贯穿CKD治疗全过程。通调三焦水道的关键在于宣肺利水、淡渗利湿,通调三焦气道的关键在于和解少阳、调畅气机,通调三焦火道的关键在于温补脾肾。三焦调畅,则肺、脾、肾功能正常,气、血、水运行协调,有利于延缓CKD进展。

Theoretical Discussion on Treatment of Chronic Kidney Disease from Triple Energizer

As one of the six-fu organs, triple energizer is the pathway of water, qi and fire, and has close physiological and pathological relationship with kidney. The imbalance of triple energizer is an important pathogenesis that causes kidney yang deficiency, qi disorder and phlegm dampness, blood stasis, turbid toxin and other pathological products of Chronic kidney disease(CKD). The principle of regulating the triple energizer penetrates the whole process of the treatment of CKD. Dispersing lung qi for diuresis and eliminating dampness is the key of regulation of the waterway of triple energizer. Harmonizing Shaoyang and adjusting the movements of qi is the key of regulation of the airway of triple energizer. The crux of the regulation of the fire passage is warmly tonifying the spleen and kidney. If the triple energizer is harmonized, the function of lung, spleen and kidney will be normal. And the movement of qi, blood and water is coordinated, which is helpful to delay the progress of CKD.