基于“肾–三焦别通”理论浅析小儿慢性肾炎

Analysis of Pediatric Chronic Glomerulonephritis Based on the “Kidney-Triple Energizer Bie Tong” Theory

摘要: 目的：基于“肾–三焦别通”理论探讨小儿慢性肾小球肾炎(CGNC)的病机，探索更有效的中医治则治法。方法：通过理论分析，结合中医经典与临床实践，阐释“肾–三焦别通”理论在CGNC发病机制中的作用，并提出相应的辨证论治思路。结果：研究认为CGNC的病机本质为肾元亏虚、肾–三焦别通失司，导致湿、瘀、毒、浊内停，三焦气机失调。据此提出“疏利三焦、扶正固元”的治疗原则，具体治法包括疏利上、中、下三焦以通利气机，配合补肾益气以固本培元。结论：基于“肾–三焦别通”理论的辨证论治体系，有助于从整体调节脏腑功能，提高CGNC的临床疗效，改善患儿生活质量，为中医儿科肾脏疾病的防治提供了新的理论依据和治疗思路。

Abstract: Objective: To investigate the pathogenesis of Chronic Glomerulonephritis in children (CGNC) based on the “Kidney-Triple Energizer Bie Tong” theory, aiming to explore more effective Traditional Chinese Medicine (TCM) principles and methods for treatment. Methods: Through theoretical analysis integrating classical TCM literature with clinical practice, this study elucidates the role of the “Kidney-Triple Energizer Bie Tong” theory in the pathogenesis of CGNC and proposes a corresponding syndrome differentiation and treatment strategy. Results: The study posits that the pathological essence of CGNC lies in kidney-primordial deficiency and dysfunction of the Kidney-San Jiao connection, leading to the internal retention of dampness, stasis, toxin, and turbidity, as well as dysregulation of Qi movement in the San Jiao. Consequently, the therapeutic principle of “expelling pathogens from the San Jiao and reinforcing the body’s defenses” is proposed. Specific treatments include regulating the upper, middle, and lower Jiao to unblock Qi movement, combined with tonifying the kidney and replenishing Qi to consolidate the root and strengthen the primordial energy. Conclusion: The syndrome differentiation and treatment system for CGNC based on the “Kidney-Triple Energizer Bie Tong” theory facilitates the holistic regulation of visceral functions. This approach is expected to enhance clinical efficacy, improve the quality of life for pediatric patients, and provide new theoretical foundations and therapeutic strategies for the treatment of pediatric renal diseases in TCM.