Professor Tieliang Wang’s Clinical Experience in Treating Hypertensive Renal Damage Based on the Theory of “Xuan Fu”

高血压肾损害是由于长期血压控制不佳引起的进行性肾脏损伤，长期高血压损伤肾脏小血管、肾小球、肾小管和间质，进而导致慢性肾脏病。近年来，高血压肾损害的发病率仍然在不断增长，所以我们需要采取一定的手段进行干预并阻断病程。王铁良教授辨证论治肾病相关疾病经验丰富，对高血压病到高血压肾损害整个病程，推崇“肾玄府”理论，即将肾脏中具有开阖性质的结构类比为同样有开阖性质的汗孔，结合“肾玄府”的功能，随证论治，将其分为阴虚阳亢，玄府失养、风邪扰络，玄府失和、痰瘀痹阻，玄府失司三期，依据其病症分期，辨证施治，于临床取得显著疗效。Hypertensive renal damage is a progressive renal damage caused by long-term poor blood pressure control. Long-term hypertension damages renal small blood vessels, glomeruli, renal tubules and interstitium, which in turn leads to chronic kidney disease. In recent years, the incidence of hypertensive renal damage has still been increasing, so we need to take some measures to intervene and block the course of the disease. Professor Tieliang Wang has rich experience in the treatment of kidney disease-related diseases based on syndrome differentiation. He advocates the theory of “kidney Xuan fu” for the whole course of hypertension to hypertensive renal damage, that is, the structure with open and closed properties in the kidney is analogized to the sweat pores with open and closed properties. Combined with the function of “kidney Xuan fu”, he divides it into three stages: yin deficiency and yang hyperactivity, Xuan fu malnutrition, wind pathogen disturbing collaterals, Xuan fu disharmony, and phlegm-stasis obstruction, Xuan fu dysfunction. According to its disease stage, syndrome differentiation and treatment have achieved remarkable clinical results.