从肾阳虚探讨多尿、少尿的形成机理

Formation Mechanism of Polyuria and Oliguria in View of Kidney Yang Deficiency

肾阳虚病机的发展变化可以影响肾阳虚证出现不同甚至相反的症状,例如多尿与少尿,但都可作为肾阳虚证的诊断依据。其他脏腑功能盛衰会累及肾脏功能变化,而不同疾病特性会影响机体内环境改变,不同体质类型也影响疾病的转归、预后。这些因素都会导致肾阳虚病机向相反方向发展变化。临床病症的产生归结于病机的复杂演变,而病机的复杂变化是疾病、体质、脏腑盛衰等多重因素共同影响作用的结果,提示在临床辨证论治中要综合分析,谨守病机。

The development of the pathogenesis of kidney Yang deficiency could affect the manifestation of kidney Yang deficiency syndrome,resulting in various symptoms which could even be contrast,such as polyuria and oliguria.Meanwhile,they could both be the diagnostic bases. The function ups and downs of other Zang and Fu organs could impact the kidney function,different characteristics of disease could influence our homeostasis,and diverse constitutional types could also affect the prognosis of disease. These elements could all lead to the pathogenesis of kidney Yang deficiency changing to the opposite direction. The generation of clinical condition could be attributed to the complicated evolution of pathogenesis,which is the result of interaction of many factors such as disease,constitution and function ups and downs of Zang and Fu organs. So we need to analyze comprehensively and stick to the pathogenesis in clinical syndrome differentiation.