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1.北京中医药大学,北京 100029
2.首都医科大学附属北京中医医院,北京 100010
王欣怡,女,26岁,硕士研究生。研究方向:经方治疗肾脏病。
刘宝利,E-mail:liubaoli@bjzhongyi.com
收稿日期:2024-06-25,
纸质出版日期:2025-06-25
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王欣怡,刘宝利.基于三焦气化理论探讨温阳解表法治疗原发性膜性肾病经验[J].北京中医药,2025,44(6):762-766.
WANG Xinyi,LIU Baoli.Treatment of primary membranous nephropathy with the method of warming yang and releasing the exterior based on the theory of qi transformation of triple energizer[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):762-766.
王欣怡,刘宝利.基于三焦气化理论探讨温阳解表法治疗原发性膜性肾病经验[J].北京中医药,2025,44(6):762-766. DOI: 10.16025/j.1674-1307.2025.06.020.
WANG Xinyi,LIU Baoli.Treatment of primary membranous nephropathy with the method of warming yang and releasing the exterior based on the theory of qi transformation of triple energizer[J]. Beijing Journal of Traditional Chinese Medicine,2025,44(06):762-766. DOI: 10.16025/j.1674-1307.2025.06.020.
三焦作为一个有机整体,主持诸气,总司人体的气化。三焦气化理论强调人体水液代谢的协调平衡,与原发性膜性肾病的中医核心病机——水液代谢失衡密切相关。温阳解表法通过温阳散寒、解表祛邪,恢复三焦气化功能,促进水液代谢平衡,用于治疗原发性膜性肾病疗效显著。基于三焦气化理论辨治原发性膜性肾病,上焦宣肺、化气利水,中焦运脾、调畅气机,下焦益肾、温阳化积,另外,注重风药的运用。
Triple energizer, as an integrated organic system, governs all
qi
and oversees the body's
qi
transformation. The theory of
qi
transformation of the triple energizer emphasizes the coordinated balance of water metabolism, which is closely related to the core pathogenesis of primary membranous nephropathy in traditional Chinese medicine, i.e., water metabolism imbalance. The method of warming
yang
and releasing the exterior, by warming
yang
, dispelling cold, and eliminating pathogenic factors, restores the
qi
transformation function of the triple energizer and promotes the balance of water metabolism, demonstrating significant efficacy in treating primary membranous nephropathy. Based on the theory of
qi
transformation of the triple energizer, the treatment of primary membranous nephropathy involves ventilating lung and transforming
qi
to regulate water in the upper energizer; transporting the spleen and smoothing
qi
movement in the middle energizer; benefiting the kidney, warming
yang
, and resolving accumulation in the lower energizer. Additionally, emphasis is placed on the use of wind-dispelling medicines.
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