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基于“肝生血氣”探討從肝虛證辨治腎性貧血

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[中圖分類號]R256.5 [文獻(xiàn)標(biāo)志碼]A [文章編號]doi:10.3969/j.issn.1674-070X.2025.06.021

Differentiating and treating renal anemia from the perspective of liver deficiency pattern based on the theory of "liver generating blood and qi"

YANG Yunjie', ZHENG Minlin2,YU Yongxin3,LI Pengfei',RUAN Shiwei', HE Youcheng, WANG Jianting'*

1.ThePeople'sHospitdlAfiliatedtoFujianUniversityofTraditionalChineseMedicine,F(xiàn)uzhou,F(xiàn)ujian35oo,China;2.Collegeof IntegratedTraditional ChineseandWesternMedicine,F(xiàn)ujian UniversityofTraditional ChineseMedicine,F(xiàn)uzhou,F(xiàn)ujian350122China;3ugungHospialAfatedthagiUnesityofditionalCinseMedicinehghai1China;4.LonghuaHospitalAfliatedtoShanghaiUniversityofTraditionadChineseMedicine,Shanghai2Ooo3China

[Abstract]Renalanemia(RA)isoneof thecommoncomplicationsofchronic kidneydisease,andits formation isclosely relatedtothefailureofbloodandqigeneration,wichleadstoaniabilitytonourishthebody’srgansandmeridiansTheliver playsapivotalroleinthegenerationandcirculationofbloodandqi,whichisaprocesstemed“l(fā)ivergeneratesbloodandqiin TCM.Thenormalfunctioningoftheliverinthisregardreliesontheabundanceofliverbloodtonourishtheliversubstance,the smoothflowofliverqitoactivateitsfunctions,aswellasthecontiuousnourishmentoftheliver'ssubstanceandfunctionsbythe spleen,lung,hart,ndidneyBasedonthethoryof“l(fā)ivergeneatingblodandqi,tispaperelucidatesthenewcotationof “deficiencyinbothliversubstanceandfunction,leadingtothefailureofbloodandqigeneration”inliverdeficiencypaten.The corepathogenesisofRAischaracterizedbyweaknessofliverbloodandliverqi,orliverdeficiencyleadingtoimpairmentof the spleen,lunghartandidneytherebyafectingthegenerationofbloodandqi?Tispespectivedifersfromteraditional understandinginTCM,whichhaspredominantlyfocusedonthedeficiencyofboththespleenandkidney,alongwiththe interminglingofdampness,turbiditybloodstasis,andtoxinsasthecauseofthefailureinbloodandqigeneration.Intersof treatment,itisdocatedtotieeliveoeibacdciolateoremedad selectformulassuchasZuoguiPll,XiaoyaoPowder,SuanzaorenDecoctionandShuyuPill.heaimistorestoretheliver's function of generating blood and qi, thereby providing a novel approach for the treatment of RA.

[Keywords]renalanemia.;livergeneratingbloodandqi;liverdeficiencypatern;deficiencyof liversubstance;defi ciency of liver function

腎性貧血(renalanemia,RA)作為慢性腎臟?。╟hr-onickidneydisease,CKD)最常見的并發(fā)癥之一,其發(fā)生主要與腎功能受損導(dǎo)致促紅細(xì)胞生成素(ery-thropoietin,EPO)分泌不足,以及尿毒癥毒素干擾骨髓正常造血功能有關(guān)。(剩余8032字)

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