以脏为阴腑为阳辨证治疗尿石症临证举隅

尿路结石当分阴阳,结石在肾者为在脏,属阴,为肾中阳虚,阴寒凝聚,冰结而成,治疗当以温阳为主;结石在输尿管或膀胱者为在腑,属阳,由热灼津液,煎熬而成,因湿多下流,常与热结,故此热多为湿热。治疗当以利湿热为主,治疗之法,重在治本,治本即是治肾,治肾重在温阳。肾中阳旺,阴寒自消,蒸渗有权,则结石或碎解,或溶化,或下降,确是治疗之又一途径。如肾结石又兼湿热者,则温阳与清利兼施,或先清利后温阳,当权衡缓急施宜。至于输尿管,膀胱结石,本六腑以通为用,＂实者泻之＂的原则。以＂脏为阴,腑为阳＂学说为指导治疗泌尿系结石均取得较好效果,表明现代检测结果仍可纳入中医辨证论治范围,也是中医辨证论治内涵的丰富与发展。

Experience for treating urolithiasis in Zang Wei Yin,Fu Wei Yang differentiation

Urolithiasis was divided into Yin and Yang, concretion lied in Shen, belongs to Yin, was Shenzhong Yangxu, and patients were given Wenyang treatment, While concretion lied in ureter or bladder, belongs to Yang, and given Lishi treatment. This disease should treat Shen firstly, and the important was Wenyang. Shenzhong Yangwang, Yinhan Zixiao, Zhenshen Youquan, thus concretion could crush, melt or decrease. If concretion lied in kidney and Shire, patients should be treated with Wenyang Qingli, or first Qingli. If concretion lied in ureter or Madder, patients should be treated based on Liufu Yitong W~iyong, Shizhe Xiezhi theory. The treatment on urolithiasis under the guidence ofZang Wei Yin, Fu Wei Yang could received good efficacy, at the same time, modem test results were still included in the differentiation treatment, and also development of TCM.