Treating Chronic Kidney Disease from the Perspective of 'Activating the Pivot Mechanism'
Abstract：Chronic kidney disease is a common disease in nephrology. The traditional pathogenesis is mostly based on deficiency and excess, but the clinical pathogenesis is complex and changeable, and traditional syndrome differentiation and treatment have limitations. Applying the theory of 'activating the pivot mechanism' can better guide syndrome differentiation and treatment throughout the entire course of the disease. Modern physicians divide the 'pivot mechanism' into: the pivot of the spleen and stomach, the pivot of the lesser yang, and the pivot of the厥阴 (Jueyin). When the pivot mechanism functions normally, the body's qi, blood, yin, and yang are balanced, and the movement of qi is normal. 'Pivot dysfunction' is an important cause of chronic kidney disease, and the development of the disease often involves the dysfunction of two pivots. For chronic kidney disease with dysfunction of the spleen-stomach and lesser yang pivots, the prescription of 'Qi-nourishing and Nutrient-Enhancing Formula' combined with Xiaochaihu Decoction (Xiaochaihu Tang) can be used to activate the spleen-stomach and lesser yang pivots, treating with 'harmonizing qi' and 'harmonizing the middle'. This article elaborates on the clinical experience of treating chronic kidney disease based on 'pivot dysfunction' through case studies.
Keywords：Chronic Kidney DiseaseActivating the Pivot MechanismPivot DysfunctionQi-Nourishing and Nutrient-Enhancing FormulaXiaochaihu Decoction
Publication Date：2025-07-15
Online Publishing Date：2025-09-18(First online date of this platform, not the publication date of the document)
Pages：5( 6-9,14 )