阮诗玮运用清心莲子饮治疗慢性肾脏病经验
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1.福建中医药大学(福建 福州 350108);2.福建中医药大学附属人民医院(福建 福州 350004)

作者简介:

丘余良,男,主任医师。主要从事中医肾脏病基础与临床研究。E-mail:748778837@qq.com

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※基金项目 国家中医药管理局全国名老中医药专家(阮诗玮)传承工作室建设项目(No.国中医药人教函〔2022〕75号)


阮诗玮运用清心莲子饮治疗慢性肾脏病经验
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    摘要:

    中医认为慢性肾脏病属“本虚标实”,基本病机为“脾肾两虚”,脾肾气阴两虚为其常见证型。清心莲子饮作为益气养阴、清利湿热的经典方剂,在现代药理研究中显示出抗炎、抗氧化、抗纤维化等多重作用。阮诗玮教授基于“六看”理论,结合地域气候与患者体质,紧扣气阴两虚兼湿热内蕴之病机,以清心莲子饮为基础方进行灵活加减,广泛应用于慢性肾炎、IgA肾病、糖尿病肾病等多种慢性肾脏病,临床疗效显著。

    Abstract:

    Chronic Kidney Disease (CKD) is a common clinical condition characterized by insidious onset, low awareness, and poor prognosis. Western medicine treatments often involve long courses and significant side effects. In traditional Chinese medicine (TCM), CKD is categorized as a condition of "deficiency in origin and excess in manifestation," with the fundamental pathogenesis being "deficiency of both the spleen and kidney." Among its common patterns is deficiency of both qi and yin in the spleen and kidney. Qingxin Lianzi Yin, a classic formula for supplementing qi, nourishing yin, and clearing damp-heat, has demonstrated multiple effects in modern pharmacological studies, including anti-inflammatory, antioxidant, and anti-fibrotic properties. Based on the "Six Perspectives" theory, Professor Ruan tailors the application of Qingxin Lianzi Yin by considering regional climate and patient constitution, addressing the pathogenesis of qi-yin deficiency accompanied by internal damp-heat. This approach has been widely and effectively applied in various types of CKD, such as chronic nephritis, IgA nephropathy, and diabetic nephropathy, with remarkable clinical outcomes.

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施炳铨,阮诗玮,丘余良.阮诗玮运用清心莲子饮治疗慢性肾脏病经验[J].,2025,24(6):6-9

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历史
  • 收稿日期:2025-02-26
  • 最后修改日期:2025-08-28
  • 录用日期:2025-04-09
  • 在线发布日期: 2025-09-15
  • 出版日期: 2025-06-25
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