基于“少阴为枢”理论探讨心肾综合征的病机与证治

Discussion on the Pathogenesis and Syndrome Treatment of Cardiorenal Syndrome Based on “Lesser Yin Is the Pivot”

摘要: 心肾综合征(cardiorenal syndrome, CRS)指在多因素影响下心、肾之间调控作用失衡，导致心、肾功能不全，甚至脏器衰竭。“少阴为枢”理论认为少阴枢是沟通人体内外阴阳气血的枢纽，水火既济、心肾相交是其用。基于“少阴为枢”理论，根据心肾综合征(cardiorenal syndrome, CRS)病在心肾，病变涉及多个脏腑，阐述其与少阴、太阴、厥阴以及少阳之间气机枢转的联系。在治疗心肾综合征时，以畅运少阴调气血为核心，兼顾温阳育阴、疏利少阳之法，以期恢复少阴枢机升降出入的功能，为CRS的临床治疗提供借鉴思路。

Abstract: Cardiorenal syndrome (cardiorenal syndrome, CRS) refers to the imbalance of regulation between the heart and kidney under the influence of multiple factors, leading to heart and kidney dysfunc-tion, and even organ failure. The theory of “Shaoyin is the pivot” holds that Shaoyin pivot is the hub of communicating Yin and Yang, qi and blood inside and outside the human body, and is used by both water and fire and heart and kidney. Based on the theory of “Shaoyin is the pivot”, according to the cardiorenal syndrome (cardiorenal syndrome, CRS) disease in the disease involves many viscera, explaining the connection between it and Shaoyin, Taiyin, Jueyin and Shaoyang. In the treatment of cardiorenal syndrome, the method of transporting Shaoyin and regulating qi and blood is the core, taking into account the method of warming Yang and nourishing Yin and thinning little Yang, in or-der to restore the function of lifting and exit of Shaoyin pivot, and provide reference for the clinical treatment of CRS.