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中国医药导刊 ›› 2025, Vol. 27 ›› Issue (6): 596-600.

• 中医中药 • 上一篇    下一篇

基于“肺与膀胱相通”理论诊治癃闭的临床经验探讨

杨海甜, 陶方泽*, 张磊, 周琳, 邰杨, 田艺璨, 付亚萍   

  1. 南京中医药大学附属南京中医院,江苏 南京 210022
  • 收稿日期:2024-09-29 修回日期:2025-03-11 接受日期:2025-08-02 出版日期:2025-06-28 发布日期:2025-08-06
  • 基金资助:

    2019年度南京市中医院科研基金(临床研究项目)(NO.YJLC201904);南京市中医药青年人才培养计划项目(宁卫中医〔2020〕4号,ZYQ20041);第七批全国老中医药专家学术经验继承工作(国中医药人教函〔2022〕76号);南京市(赵薇)名中医工作室建设项目(宁正中医〔2023〕9号);江苏省研究生科研与实践创新计划项目(苏学位字函〔2023〕4号,SJCX23_0814);江苏省研究生科研与实践创新计划项目(苏学位字函〔2025〕5号,SJCX25_1067&SJCX25_1063)

Clinical Experience in the Diagnosis and Treatment of Retention of Urine Based on the Theory of "Lung and Bladder Interconnection"

YANG Haitian, TAO Fangze*, ZHANG Lei, ZHOU Lin, YI Yang, TIAN Yican, FU Yaping   

  1. Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine Jiangsu Nanjing 210022, China
  • Received:2024-09-29 Revised:2025-03-11 Accepted:2025-08-02 Online:2025-06-28 Published:2025-08-06
  • Contact: ze, fang tao

摘要:

 脏腑别通理论是不同于脏腑表里理论的一种中医脏腑关系理论,该理论丰富了中医脏腑理论学说,在临床诊疗中具有独特的应用价值。基于《医学入门》所转引的“肺与膀胱相通”理论,为膀胱病从肺论治提供了理论依据。癃闭是以小便量少,点滴而出,甚则闭塞不通为主症的一种病症,其病位在膀胱,基本病机为膀胱气化功能失调。治疗癃闭从肺论治除“提壶揭盖”之泻肺法外,尚可结合“益气升陷”之补肺法。癃闭的常见证型主要是气虚湿阻,源于张锡纯大气学说的经验方加味升陷汤与癃闭病机方证契合。该方以补为通,以通为补,通补兼施,益气升陷,宣肺行水。本研究基于“肺与膀胱相通”理论,探讨其治疗癃闭的临床经验与价值,并通过验案示理,以期为临床应用提供参考。

 

关键词:  , “肺与膀胱相通”理论;癃闭;加味升陷汤;临床经验

Abstract:

The theory of "Zang-Fu extraordinary connection" is a theory of Zang-Fu organ relationships in traditional Chinese medicine which is different from the theory of "exterior-interior relationships in Zang-Fu organs". This theory enriches the Zang-Fu organ theory of traditional Chinese medicine and has unique application value in clinical diagnosis and treatment. The theory of "lung and bladder interconnection" introduced by Yixue Rumen provides a theoretical basis for the treatment of bladder disease from the lung. Retention of urine is a disease characterized by scanty drip-like or blocked urine. The diseased location of retention of urine is the bladder and its fundamental pathogenesis is the dysfunction of bladder Qi transformation. In addition to the purging lung method of lifting up pot and removing lid”, the treatment of retention of urine from the lung can also be combined with the tonifying lung method of tonifying Qi and lifting collapse. The common syndrome of retention of urine is mainly characterized by Qi deficiency and water retention. The empirical prescription Modified Shengxian Decoction derived from Zhang Xichun 's Pectoral Qi theory is consistent with the pathogenesis of retention of urine. This prescription embodies a therapeutic strategy of taking tonifying as dredging taking dredging as tonifying synergistically integrating reinforcement and elimination tonifying Qi and lifting collapse and ventilating lung and promoting diuresis. This study presents the clinical value of the lung and bladder interconnection theory in the treatment of retention of urine and demonstrates through case studies in order to provide reference for clinical application.


Key words: The theory of , lung and bladder interconnection”; , Retention of urine , Modified Shengxian decoction , Clinical experience

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