国医大师邹燕勤基于“三焦--治下焦如权”理论治疗肾病

Chinese Medicine Master Zou Yanqin Treating Kidney Disease Based on Theory of"Three Jiao-Treating Lower Jiao as Quan"

国医大师邹燕勤教授基于“三焦——治下焦如权”理论,认为肾处下焦,内寓真阴真阳,为一身元气之根,通过分析“元气”与“水液精微”关系,根据肾病患者病机特殊性,创新性提出运用“治下焦如权”理论治疗肾病时,应立足“补肾元”为先,强调“泻浊气”为要,倡导“轻药重投”为特色。临证采用“补肾祛邪”之法,用药立足培补肾元的同时祛除邪浊,每多药量较大,又常佐以杜仲、川续断、桑寄生、怀牛膝等作为引经之药,以期药达肾府,以“顾护元气,平衡阴阳”。同时注重配合“先煎久煮”煎药法以提高疗效。

Professor Zou Yanqin,Chinese Medicine Master,based on the theory of"Three Jiao-Treating Lower Jiao as Quan",believes that the Kidney is in the Lower Jiao and it contains true Yin and Yang,which is the root of the body′s vital energy.By analyzing the relationship between""vital energy"and"water,Fluid and Essence",and considering the special pathogenesis of Kidney disease patients,he innovatively proposes that when using the theory of"treating Lower Jiao as Quan"to treat Kidney disease,"tonifying the Kidney"should be the first priority,emphasizing the importance of"purging turbid Qi"and advocating the characteristic of using"light medicine with heavy administration".In clinical practice,the method of"tonifying the Kidney and eliminating evil factors"should be adopted.The medication is based on cultivating and tonifying the Kidney element,while removing evil factor turbidity.Each dose is relatively large,and is often supplemented with Du Zhong(Eucommia ulmoides),Chuan Xu Duan(Sichuan intermittent),Sangjisheng(Mulberry parasitic),Huai Niu Xi(Huai achyranthes),etc.as meridian inducing drugs,in order to reach the Kidney and balance the Yin and Yang.At the same time,attention should be paid to cooperating with the"decoction first and cook for a long time"decoction method to improve the therapeutic effect.