基于五行盛衰乘侮理论的II型心肾综合征中医病机研究

Study on TCM Pathogenesis of Type II Cardiorenal Syndrome Based on Theory of Over Restriction and Reverse Restriction in Five Elements

摘要: 依据五行乘侮原理研究II型心肾综合征的中医病机，此病机与其主要发病机制及临床表现具有相似性：以原发性心功能不全对应的心阳虚衰为核心；液体潴留、继发肾功能障碍和肺淤血象征着肾(水)和肺(金)中的邪气过盛，水乘火、金侮火，表现为水肿、少尿、喘息等症；金乘木则肝气虚急，可与代偿性血管收缩和神经内分泌系统激活相类比，出现自主神经紊乱症状；水侮土则脾气虚弱，与消化系统受到抑制的现象相似。

Abstract: This study focuses on the TCM pathogenesis of cardiorenal syndrome (type II), based on the principle over restriction and reverse restriction in five elements. This pathogenesis has similarity with the main pathogenesis and clinical manifestations of cardiorenal syndrome (type II): The heart Yang deficiency is the core of the pathogenesis which corresponding to primary heart insufficiency; Fluid retention, secondary renal dysfunction and pulmonary congestion symbolize the excessive evil qi in the kidney (water) and lung (gold), which means water over restrict fire, gold reverse restrict fire, manifested as edema, oliguria, wheezing and other symptoms; gold over restrict wood leads to deficiency of liver qi, which may be comparable to compensatory vasoconstriction and the activation of neuroendocrine system, resulting in autonomic nervous disorders. Water reverse restrict the soil leads to deficiency of temper, which is similar to the suppression of the digestive system.