教授論治腎性高血壓經(jīng)驗擷菁

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[關(guān)鍵詞]腎性高血壓；藏真虛衰；溺毒；痰互結(jié)；微觀辨病辨證； [中圖分類號]R249 [文獻(xiàn)標(biāo)志碼]A [文章編號]doi：10.3969/j.issn.1674-070X.2025.06.017

Essence of Professor WANG Xingkuan's experience in treating renal hypertension

PENG Yaping， ZOU Yixian*， WANG Xingkuan TheFirst Hospital ofHunan University of Chinese Medicine，Changsha，Hunan 41ooo7，China

[Abstract]Renal hypertensionisoneofthemostcommoncomplicationsofchronickidneydisease.Professor WANG Xingkuan，anationalfamousTCMpractitioner，holdstheviewthatthecorepathogenesisofrenalhypertensionliesinkidney esenceadqidefiencyimpaidtrasformationofwater-dampness，losofteidneysfunctioinsealingandstoingtreby leadingtothesubtleleakageofessenceandnutrients.Overtime，thisconditionprogresss toprofounddeficiencyofkidneyYuanprimordialqi，thegenerationofendogenous"urinetoxins"，failureofkidney（water）tonourishtheliver（wood），andsubsequent hyperactivityofliveryang.Clincallpatientswithenalhypertensionoftenfacechallengesinachevingbloodpressurecotroldue tofactorssuchassodiumandwaterretention，which makeitdificulttosubmerge hyperactiveyang，andtheimpairmentof drug eficacycausedbykidneyYuan-primordialqideficiency.Drawinginspirationfromtheprofoundprincipleof"kidney（Yiandliver （Gui）sharingacommonsource"，ProfesorWANGexelsineapproachof"regulatingmultiplerganshamoiously".Foerot cause，hetonifisteidneytoourishteliver（wod，soothestelivertosubmergeitshyperactivityandsrengtenstesple torestraiwater-dampness；forthemanifestations，hefocusesonclearinganddrainingurinetoxins，eliminatingphlegm，and circulatingbloodasthekeystrategies.Meanwhile，heemphasizes"microscopicdiferentiationofdiseasesandpaterns"， incorporatingmodemlaboratoryandphysicalexaminationindicatorsintothepatemidentificationsystemof"inferinghenteal fromtheexternal，therebyachievingtheefctsofsothingthe liverandsubmergingyangthroughacomprehensiveappoachthat addressesboththerotandthemanifestationsandharmonizesyinandyang.Aftersixdecadesofclinicalverification，Professor WANGXingkuan hasdevelopedadiagnosticandtherapeuticsystem thatintegratesclasicalTCMtheorieswithmodernmedical knowledge.Thissystemhasdemonstratedremarkableeficacyandistheoreticallywell-foundedinclinicalpractice，providingan exemplarymodelforcombiningclasicalTCMthinkingwithmodernmedicalpracticeinthediagnosisandtreatmentofrenal hypertension.

[Keywords]renalhypertension;kidneyYuan-primordialqideficiency;urinetoxin;intermingledphlegmandbloodstasis; microscopic differentiation of diseases and patterns; WANG Xingkuan.

慢性腎臟病（chronickidneydisease，CKD）是全球范圍的公共健康問題，影響著全球約8.5億人；流行病學(xué)數(shù)據(jù)顯示，我國人群患病率已從2012年的10.8% 顯著下降至2023年的 8.2%[2] ，但成年患者基數(shù)仍高達(dá)8200萬，疾病負(fù)擔(dān)依然嚴(yán)峻。（剩余8126字）