基于“肾与三焦相通"理论辨治高血压肾病

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Pattern differentiation and treatment of hypertensive nephropathy based on the theory of "correlation between the kidney and sanjiao"

ZHANG Yuhan，WANG Jiaxin，DAI Jiawei，ZHAOYichen，LI Ji* Heilongjiang University of Chinese Medicine， Harbin，Heilongjiang 15oo40， China

[Abstract]Hypertensivenephropathyisaclinicallycomplexandrefractory disease.Basedon thetheoryof "correlation betwen the kidneyandsanjiao"thisarticleelaboratesontheir structuralconnections，including sharedmembranesystemsand intersectingmeridians，aswellasteirfunctionalcolaborationsinsoringandtransportingeenceqiegulatingwaterndfluid metabolism，anddispersinganddischargingministerialfire.Theetiologyandpathogenesisofhypertensivenephropathyare summarizedasdysfunctioninthestorageandexcretionofessenceqibythe kidneyandsanjiao，disturbancesinwaterandfluids metabolisminvolvingthekidneyandsanjiao，andimbalancesintheregulationofministerialfirebetweenthetwo.Fromthe perspectiveofherbalformulas，itisproposedthatthetreatmentofhypertensivenephropathyshouldprimarilyfocusonestoringthe functionsofthekidneyandsanjiaoadressing threekeyaspects：replenishing kidneyesenceandtonifying Yuan-primordialqi， warming thekidneytoasistyanganddredgingthesanjiao，andnourishingkidneyyinanddescendingministerialfire.Averifed medical record is also included to provide new insights for the treatment of hypertensive nephropathy.

[Keywords]hypertensivenephropathy；correlationbetweenthekidneyandsanjiao;sanjiao;storingand transporting essence qi; water and fluid metabolism; dispersing and discharging ministerial fire

高血压肾病是由于长期持续性高血压控制不良引起肾脏受损的疾病，目前已成为仅次于糖尿病的终末期肾病第二大常见病因，其特征为肾脉管系统、肾小球、肾小管受损导致瘢痕组织形成、炎症和肾脏的血液滤过功能失常等。（剩余7756字）