张茂平教授"辛温开玄通络"理论学术思想及临床经验整理与研究
Clinical Journal of Chinese Medicine(2018)
Abstract
从络脉、玄府论肾消."络脉"是人体精、气、血、津液流通横贯于全身的细小通道,而"玄府"则是"络脉"道路上的孔穴,或门户(枢纽),为气血津液出入之门户,亦为废气、痰湿、糟粕排泄之孔穴,两者都以通为顺.络脉是通路,行使功能靠络脉上玄府开合有节.张师提出玄府是肾脏组织结构学物质基础,将肾小球毛细血管喻为肾之络脉,肾之筛孔为肾之腠理,即玄府,通行肾之气血津液之道路.玄府荣,络脉荣;玄府闭,络脉闭.消渴因热、燥伤阴,阴枯玄府失养,开合失司.消渴日久,元气内虚,血行瘀滞,湿邪、热毒及风邪等郁结肾络,堵塞玄府这个微细结构通道,肾络痹阻不通,而致消渴病肾病.
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