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从中医时间医学论述肾系病的用药规律

Discussion on the medication rule of traditional Chinese medicine chronomedicine in kidney system diseases

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【作者】 管芷莹王曾陈洪宇

【Author】 GUAN Zhiying;WANG Zeng;CHEN Hongyu;Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University;Prevention and Treatment Key Laboratory for Wind-associated Kidney Diseases with Wind and Dampness Syndrome;

【通讯作者】 陈洪宇;

【机构】 浙江中医药大学附属杭州市中医院肾风病风湿证精准防治重点实验室

【摘要】 为适应昼夜的节律变化,机体产生周期性的生命活动变化,研究该变化与医学相结合的医学理论为时间医学。中医时间医学在多个领域指导疾病治疗,肾系病治疗亦受到中医时间医学的影响。文章基于五运六气、子午流注、六经欲解时3种中医时间医学理论,对肾系病的临床用药规律相结合进行探讨,发现肾系病在四季中长夏季节预后较差,在一日中夜间易症状加重,临床用药以晨起为宜。中医时间医学有助于阐释肾系病的预后转归,更好指导临床精准用药。

【Abstract】 To adapt to the circadian rhythms, the organism undergoes periodic changes in vital functions.Chronomedicine is the medical discipline researching these changes combines with conventional medicine. Chronomedicine of traditional Chinese medicine(TCM) guides the treatment of diseases in many fields, including kidney system diseases. This paper examines the combination of clinical medication rules for renal diseases, based on three theories: five evolutive six climates,midnightnoon ebbflow acupoint selection and six meridians disease tending to be cured. The research shows that the prognosis of kidney diseases is worse during the four seasons of the long summer, and symptoms tend to worsen at night and morning medication is recommended. This paper proposes that chronomedicine of TCM can aid in elucidating the prognosis of kidney diseases and in providing more precise guidance for clinical medication usage.

【基金】 国家自然科学基金项目(No.81973760);浙江省陈洪宇名老中医专家传承工作室项目(No.GZS2021031)
  • 【文献出处】 中华中医药杂志 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,2024年11期
  • 【分类号】R256.5
  • 【下载频次】94
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