基于“肾与三焦相通”探讨疏利三焦法在腹膜透析中的应用

Application of Triple Energizer Regulation Method in Peritoneal Dialysis Based on"Kidney Communication with Triple Energizer"

腹膜透析是终末期肾脏病替代治疗的重要手段。腹膜属于三焦,肾与腹膜均自中胚层发生,这与中医“肾与三焦相通”理论不谋而合。肾与三焦共同参与机体水液代谢,这为腹膜透析的治疗提供了重要的中医理论支撑。水湿浊毒堙塞三焦是终末期肾脏病的核心病机,腹膜透析通过开凿水道,促进水湿浊毒外排,开辟三焦新的决渎出路以解危候。从“肾与三焦相通”探讨疏利三焦法在腹膜透析中的应用,以期改善腹透患者生活质量,提高腹透充分性,防止腹膜纤维化,延长腹膜寿命,为中医药联合腹膜透析治疗终末期肾脏病提供了新的理论支持及治疗思路。

Peritoneal dialysis is an important means of replacement therapy for end-stage renal disease.The peritoneum belongs to the Triple Energizer,both Kidney and peritoneum originate from the mesoderm layer,which is consistent with the theory of"Kidney communication with Triple Energizer"in traditional Chinese medicine.The Kidney and the triple energizer jointly participate in the body′s metabolism of Water and Fluids,providing important traditional Chinese medicine theoretical support for the treatment of peritoneal dialysis.The obstruction of the Triple Energizer by Water,Dampness,Turbidity and Toxin is the core pathogenesis of end-stage renal disease.Peritoneal dialysis promotes the drainage of Water,Dampness,Turbidity and Toxins,opening a new path for the Triple Energizer to alleviate critical symptoms.The application of the Triple Energizer regulation method in peritoneal dialysis is discussed based on the"Kidney communication with Triple Energizer",in order to improve the quality of life of peritoneal dialysis patients,improve the adequacy of peritoneal dialysis,prevent peritoneal fibrosis,extend the life of the peritoneum,and provide new theoretical support and treatment ideas for the combined treatment of traditional Chinese medicine and peritoneal dialysis for end-stage renal disease.