基于《百证赋》行间涌泉探讨“肝肾同治”在糖尿病肾病中的应用

Discussion on the Application of “Treating Liver and Kidney Together” in Diabetes Nephropathy Based on “Hundred Syndrome Fu”

摘要: 糖尿病肾病是糖尿病非常常见的微血管并发症之一。本篇从肝、从肾、从肝肾同治论述糖尿病肾病。《百症赋》辨证精良、取穴精简、言简意赅。《百症赋》记载了糖尿病肾病的针灸治疗曰：“行间、涌泉，主消渴之肾竭。”行间、涌泉配伍属于乙癸同源、肝肾同治。行间属火，为肝经的荥穴，具有平肝补肾、清火通络之功；涌泉属木，为肾经的井穴，具有滋肾清热，通下焦之络之功。两穴联合应用，具有相生互用之功，从而达到调肝补肾、滋阴通络、调和阴阳。

Abstract: Diabetes nephropathy is one of the most common microvascular complications of diabetes. This article discusses diabetes nephropathy from the aspects of liver, kidney and simultaneous treatment of liver and kidney. The “Bai Zheng Fu” has excellent differentiation of syndromes, concise selection of acupoints, and concise and clear language. “Hundred Symptoms Fu” records that acupuncture and moxibustion treatment of diabetes nephropathy says: “between rows, spring, the main thirst quenching kidney exhaustion”. The combination of between rows and spring belongs to the same origin of Yi and Kui, and the same treatment of liver and kidney. Xingjian belongs to the fire element and is the Xing acupoint of the liver meridian, which has the functions of calming the liver, tonifying the kidneys, clearing fire, and unblocking collaterals; Yongquan belongs to wood and is a well of the Kidney Meridian. It has the function of nourishing the kidneys, clearing heat, and promoting the circulation of the Xia Jiao meridian. The combined application of two acupoints has the function of mutual growth and interaction, thus achieving the regulation of liver and kidney, nourishing yin and unblocking meridians, and harmonizing yin and yang.