教授论治肾性高血压经验擷菁

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[关键词]肾性高血压；藏真虚衰；溺毒；痰互结；微观辨病辨证； [中图分类号]R249 [文献标志码]A [文章编号]doi：10.3969/j.issn.1674-070X.2025.06.017

Essence of Professor WANG Xingkuan's experience in treating renal hypertension

PENG Yaping， ZOU Yixian*， WANG Xingkuan TheFirst Hospital ofHunan University of Chinese Medicine，Changsha，Hunan 41ooo7，China

[Abstract]Renal hypertensionisoneofthemostcommoncomplicationsofchronickidneydisease.Professor WANG Xingkuan，anationalfamousTCMpractitioner，holdstheviewthatthecorepathogenesisofrenalhypertensionliesinkidney esenceadqidefiencyimpaidtrasformationofwater-dampness，losofteidneysfunctioinsealingandstoingtreby leadingtothesubtleleakageofessenceandnutrients.Overtime，thisconditionprogresss toprofounddeficiencyofkidneyYuanprimordialqi，thegenerationofendogenous"urinetoxins"，failureofkidney（water）tonourishtheliver（wood），andsubsequent hyperactivityofliveryang.Clincallpatientswithenalhypertensionoftenfacechallengesinachevingbloodpressurecotroldue tofactorssuchassodiumandwaterretention，which makeitdificulttosubmerge hyperactiveyang，andtheimpairmentof drug eficacycausedbykidneyYuan-primordialqideficiency.Drawinginspirationfromtheprofoundprincipleof"kidney（Yiandliver （Gui）sharingacommonsource"，ProfesorWANGexelsineapproachof"regulatingmultiplerganshamoiously".Foerot cause，hetonifisteidneytoourishteliver（wod，soothestelivertosubmergeitshyperactivityandsrengtenstesple torestraiwater-dampness；forthemanifestations，hefocusesonclearinganddrainingurinetoxins，eliminatingphlegm，and circulatingbloodasthekeystrategies.Meanwhile，heemphasizes"microscopicdiferentiationofdiseasesandpaterns"， incorporatingmodemlaboratoryandphysicalexaminationindicatorsintothepatemidentificationsystemof"inferinghenteal fromtheexternal，therebyachievingtheefctsofsothingthe liverandsubmergingyangthroughacomprehensiveappoachthat addressesboththerotandthemanifestationsandharmonizesyinandyang.Aftersixdecadesofclinicalverification，Professor WANGXingkuan hasdevelopedadiagnosticandtherapeuticsystem thatintegratesclasicalTCMtheorieswithmodernmedical knowledge.Thissystemhasdemonstratedremarkableeficacyandistheoreticallywell-foundedinclinicalpractice，providingan exemplarymodelforcombiningclasicalTCMthinkingwithmodernmedicalpracticeinthediagnosisandtreatmentofrenal hypertension.

[Keywords]renalhypertension;kidneyYuan-primordialqideficiency;urinetoxin;intermingledphlegmandbloodstasis; microscopic differentiation of diseases and patterns; WANG Xingkuan.

慢性肾脏病（chronickidneydisease，CKD）是全球范围的公共健康问题，影响着全球约8.5亿人；流行病学数据显示，我国人群患病率已从2012年的10.8% 显著下降至2023年的 8.2%[2] ，但成年患者基数仍高达8200万，疾病负担依然严峻。（剩余8126字）