| 詹魁骏,徐浩,刘恺远,牟新.清代医家对“肾消”病机的认识[J].浙江中西医结合杂志,2017,27(12): |
| 清代医家对“肾消”病机的认识 |
| Pathogenesis of “Shen Xiao(Diabetes Involving Lower Energizer)” In Qing Dynasty |
| 投稿时间：2017-06-15 修订日期：2017-06-16 |
| DOI： |
| 中文关键词: 清代 肾消 病机 学术思想 中焦 湿热 肺 文献研究 |
| 英文关键词:Qing dynasty diabetic kidney disease tcm-pathogenesis academic-thinking middle-energizer damp-heat Lung Literature-resaerch |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 目的 总结清代医家对“肾消”病机的认识,分析其特点,以指导临床。方法 搜集清代医家论治消渴的医论和医话,提取并分析其中关于肾消的内容,探讨清代医家对“肾消”病机的认识,梳理脉络、分析规律。结果 清代医家一般认为,消渴伴有水肿、小便不利等症状时属于肾消范畴。他们已认识到中消可传为肾消,胃热传肾是肾消病机之一,而中消误治会促进肾消发病,不过其根本病机仍在于肾阴虚、肾阳虚或肾气虚。另外,湿热蕴结于下焦、金不生水(肺不滋肾)等也是肾消病机。结论 清代医家对肾消病机的认识在继承前人思想的基础上,完善了中消传肾机制,丰富了肾虚致消的内涵,强调了湿热蕴结,肺不生肾等因素。 |
| 英文摘要: |
| Objective Exploring the physician"s view about pathogenesis of "Shen Xiao(diabetes involving lower energizer) , in order to contribute clinical. Method To collect and analyze the literature on the treatment of Diabetes in the Qing Dynasty, extract content about the pathogenesis of “Shen Xiao”, summarize the doctors’s view and analysis rules. Results Diabets with symptoms as edema,urinary incontinence prompt ShenXiao;Physicians had been recognized “ZhongXiao(diabetes involving middle energizer)” will develop into “Shen Xiao”, mistreatmen of Zhong Xiao promote the process;Deficiency of kidney-yin,kidney-yang and kidney-qi are basic pathogenesis.Deficiency of middle energizer, damp-heat and Lung can’t nourishing kidney are also the pathogenesis. Conclusion Physicians in the Qing Dynasty mainly developed the theory of predecessors, improved transformation of deficiency of middle energizer to lower, enriches the connotation of kidney deficiency lead to diabetes,emphasize the view of damp-heat and Lung can’t nourishing kidney. |
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