Exploration on the Staged Treatment of Type Ⅳ Cardiorenal Syndrome Based on the Theory of"Yin-pathogenic Fire and Primordial Qi are Opposites"
10.19879/j.cnki.1005-5304.202502101
- VernacularTitle:基于"火与元气不两立"探讨Ⅳ型心肾综合征分期辨治
- Author:
Yunjie YANG
1
;
Yuliang QIU
;
Pengfei LI
;
Shiwei RUAN
;
Jianting WANG
Author Information
1. 福建中医药大学附属人民医院,福建 福州 350004;福建中医药大学第一临床医学院,福建 福州 350122
- Publication Type:Journal Article
- Keywords:
type Ⅳ cardiorenal syndrome;
heart;
spleen;
kidney;
primordial qi;
yin-pathogenic fire
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2025;32(7):176-179
- CountryChina
- Language:Chinese
-
Abstract:
Type Ⅳ cardiorenal syndrome(CRS)is a subtype of CRS characterized by cardiac structural damage and/or functional decline secondary to chronic kidney disease.Clinically,it often manifests as fatigue,shortness of breath,edema,oliguria,and difficulty lying flat at night,which align with the TCM pattern of"deficiency of primordial qi and excess of yin-pathogenic fire".Li Dongyuan proposed the theory that"yin-pathogenic fire and primordial qi are opposites",emphasizing the dynamic relationship of"mutual growth and decline"between primordial qi and yin fire.From this perspective,the development and progression of Type Ⅳ CRS are believed to correspond to the fluctuations in the balance of primordial qi and yin-pathogenic fire.Based on this theory,the core pathogenesis of Type Ⅳ CRS is summarized as"imbalance between qi and fire",where"deficiency of primordial qi"is the root cause,often attributed to damage to the heart,spleen,and kidney,while"exuberance of yin-pathogenic fire"represents the pathological manifestation.In clinical practice,the treatment should focus on reinforcing primordial qi and subduing yin-pathogenic fire,with tailored approaches according to the stages of disease progression.In the early stage,when primordial qi lacks a foundation for generation and yin-pathogenic fire begins to emerge,the treatment should aim to consolidate the root of primordial qi and suppress the budding of yin-pathogenic fire.In the middle stage,when primordial qi is insufficiently produced and yin-pathogenic fire becomes predominant,the treatment should focus on nourishing the source of primordial qi and curbing the exuberance of yin-pathogenic fire.In the late stage,when primordial qi becomes dispersed and yin-pathogenic fire is unconstrained,the treatment should prioritize consolidating the foundation of primordial qi and restraining the chaotic movement of yin-pathogenic fire.
