基于“诸厥固泄, 皆属于下”微观新解辨肾病

Differentiating nephropathy based on the new microscopic interpretation of "symptoms such as syncope, constipation or incontinence all belong to the lower part"

"诸厥固泄, 皆属于下"出自《素问·至真要大论篇》"病机十九条", 各家多从宏观症状认识此条病机含义。从微观角度看, 出现蛋白尿与SCr升高是多数肾脏病较为常见的临床表现, 可分别归于"泄"与"固"范畴, 而"下"的含义多被认为指肾或包含肾, 故临床可运用微观检测手段, 并从肾脏微观结构的改变结合中医理论探求各类肾病的病机, 建立微观辨证诊疗体系, 微观与宏观证据相结合辨治肾病。

"Symptoms such as syncope,constipation or incontinence all belong to the lower part"comes from Bing Ji Shi Jiu Tiao(Su Wen Zhi Zhen Yao Da Lun).Doctors mostly recognize the meaning of this pathogenesis from macroscopic symptoms.From a microscopic point of view,proteinuria and increased SCr are the most common clinical manifestations of most kidney diseases,which can be classified into the categories of"incontinence"and"constipation"respectively.The meaning of"lower"is mostly thought to refer to or include kidney.Therefore,microscopic detection methods can be used in clinical practice.The pathogenesis of many kinds of kidney diseases can be explored based on the changes of kidney microstructure combined with the theory of TCM to establish a diagnosis and treatment system of microscopic TCM syndrome differentiation and differentiate and treat nephropathy by combining micro and macro evidence.