摘要
目的:总结孙伟教授运用“益肾清利活血法”分期治疗慢性肾脏病的经验。方法:通过查阅孙伟教授及其弟子近20年有关肾脏病的著作、论文、科学研究成果,分析其诊治慢性肾脏病的理论特点和治疗方法;临证跟随孙教授抄方,学习了解孙伟教授益肾清利活血法的临床运用情况;运用慢性肾脏病管理系统,动态观察孙教授诊治的慢性肾脏病患者的治疗效果。通过了解孙教授临床、科研等,分析他的学术思想及临床运用,归纳总结孙伟教授治疗慢性肾脏病的病机特点和治则治法。结果:孙伟教授认为,慢性肾脏病病机总属“肾虚湿瘀”并贯穿整个肾脏病变过程中,治疗慢性肾脏病的大法应为“益肾清利活血”,即补肾健脾、清利化湿、活血和络,并形成了基本处方,根据慢性肾脏病的分期随症加减。这一治法可以有效提高临床疗效,改善慢性肾脏病的临床症状,提高患者的生活质量。结论:“肾虚湿瘀”是所有的慢性肾脏病共同的病机特点,“益肾清利活血”治法适用于所有的慢性肾脏病患者,但在慢性肾脏病的不同类型、病程发展的不同阶段、不同病证特点、病情轻重不一的情况下运用益肾、清利、活血的侧重点不尽相同。
Objective: To summarize Professor Sun Wei’s experience in the treatment of chronic kidney disease (CKD) by using the “YiShen QingLi Huoxue Therapy”. Method: Through reviewing the prescription, papers, and scientific research of Professor Sun Wei and his disciples about kidney disease for 20 years, to analyze the theoretical characteristics and therapeutic methods of CKD. We summarized Prof. Sun’s clinical application of Yishen Qingli Huoxue therapy. The CKD management system was used to dynamically observe the effect of patients with CKD receiving his treatment. We analyzed his academic experience on CKD. Result: Professor Sun Wei believes that the pathogenesis of CKD is always “kidney deficiency and damp stasis” and underlies the whole process of kidney disease. The main method for treating CKD is consisted of 3 therapies, tonifying kidney (YiShen), clearing dampness (Qingli), promoting circulation (Huoxue). He formed a core prescription and used herbs according to the different symptoms of CKD. This treatment can effectively improve clinical outcome, ameliorate the symptoms of CKD, and preserve the quality of life. Conclusion: “Kidney deficiency and damp stasis” is a common pathogenesis in CKD, and the “YiShen QingLi Huoxue” treatment is applicable to all patients with CKD. The use of Tonifying kidney, clearing dampness and promoting circulation therapy in different types of CKD should be based on different stages, disease syndrome characteristics and severity of illness.
出处
《临床医学进展》
2018年第9期785-789,共5页
Advances in Clinical Medicine
