基于“肾气不衡”理论的“平治于权衡”法治疗膜性肾病经验

Experience of treating membranous nephropathy by the method of balancing based on the theory of unbalanced kidney Qi

“肾气不衡”是各种肾脏疾病产生及水液代谢异常的主要原因,也是原发性膜性肾病(IMN)的重要病机,肾气不衡有肾内、肾外之分,肾内之气失衡包括先天肾气不充、肾内气血失衡2种情况;肾外之气失衡也包括肾气开阖失衡、肾气升降失衡2种情况。“平治于权衡”是通过斟酌阴阳之虚实,纠肾中阴阳偏衰,以平肾气,同时恢复肾与他脏的关系,从而使机体功能正常的治疗理念。治疗时应注重把握补肾泻肾尺度,平衡肾中气血关系,同时重视肠胃与肾的关系,使机体恢复自身稳态而达到缓解疾病、防止复发的作用。

Kidney qi imbalance is the main cause of various kidney diseases and abnormal water-liquid metabolism and an important pathogenesis of primary membranous nephropathy(IMN),which was further divided into intrarenal and extrarenal renal qi imbalance.The imbalance of qi inside kidney includes congenital insufficiency of kidney qi and imbalance of qi and blood in kidney.The imbalance of qi outside the kidney also includes the imbalance of opening and closing of kidney qi and the imbalance of ascending and descending of kidney qi.Therefore,the use of the treating disease by balance is a therapeutic concept to correct the deficiency of Yin and Yang in the kidney,so as to calm the kidney qi and restore the relationship between the kidney and other organs,thus making the body function normal.During treatment,attention should be paid to the scale of tonifying kidney and purging kidney,balance the relationship between qi and blood in kidney,and importance attached to the relationship between stomach and kidney,so as to restore the body's own steady state and achieve the functions of relieving diseases and preventing recurrence.