Treatment of Type 4 Cardiorenal Syndrome based on the Theory of "Yang Deficiency with Three Lackings，Controlled by the Spleen"
10.13288/j.11-2166/r.2024.22.013
- VernacularTitle:基于“阳虚三夺统于脾”理论论治Ⅳ型心肾综合征
- Author:
Yuxin HU
1
;
Yexin CHEN
1
;
Zeyu XUE
2
;
Ziheng GAO
1
;
Gaiwen CUI
1
;
Wenkang ZHANG
2
;
Yaoxian WANG
1
Author Information
1. Dongzhimen Hospital，Beijing University of Chinese Medicine，Beijing，100700
2. Beijing University of Chinese Medicine
- Publication Type:Journal Article
- Keywords:
type 4 cardiorenal syndrome;
yang deficiency;
lacking essence;
lacking qi;
lacking fire;
warming yang and draining water;
supplementing deficiency and resolving masses
- From:
Journal of Traditional Chinese Medicine
2024;65(22):2363-2367
- CountryChina
- Language:Chinese
-
Abstract:
WANG Qishi put forward the theory of "yang deficiency with three lackings， controlled by the spleen" in Lixu Yuanjian （《理虚元鉴》）， which regarded that yang deficiency can lead to consumptive diseases with changes of lacking essence， lacking qi， and lacking fire， so the treatment should start from the spleen to restore the middle yang urgently. This article summarised the experience of treating type 4 cardiorenal syndrome based on the theory of "yang deficiency with three lackings， controlled by the spleen"， and proposed that lacking essence is the beginning of the onset of type 4 cardiorenal syndrome， lacking qi is the gradual development of the disease， and lacking fire is the changes of the disease， and ultimately resulted in the complex situation of kidney and qi deficiency， and edema due to yang deficiency， combined with syndromes variation. In the clinical evidence， in the stage of lacking fire， therapies should warm the middle and strengthen the spleen in order to rescue the middle yang， prescribed with modified Baoyuan Decoction （保元汤） plus Lizhong Decoction （理中汤）； in the stage of lacking qi， prescriptions can add Taoren （Juglans regia）， Tubiechong （Eupolyphaga sinensis）， Fuling （Smilax glabra）， Guizhi （Neolitsea cassia） to activate blood and drain water to transport and restore the center qi； in the stage of lacking essence， prescriptions can add Gouqizi （Lycium barbarum）， Tusizi （Cuscuta chinensis）， Duzhong （Eucommia ulmoides）， Bajitian （Gynochthodes officinalis） to supplement deficiency and resolve masses to consolidate the root and supplement essence.
