| 引用本文: |
王瑶,张李博,吴金鸿,刘光珍.刘光珍教授治疗慢性肾脏病经验探析[J].湖南中医药大学学报,2022,42(3):453-456[点击复制] |
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| 刘光珍教授治疗慢性肾脏病经验探析 |
| 王瑶,张李博,吴金鸿,刘光珍 |
| (山西中医药大学, 山西 太原 030024;山西省中医药研究院, 山西 太原 030012) |
| 摘要: |
| 国家级名中医刘光珍治疗慢性肾脏病（chronic kidney disease, CKD）强调分期治疗：CKD 1-3a期以脾肾亏虚为主，以补益脾肾为主要治法；CKD 3b-4期以脾肾亏虚、湿热瘀毒胶结为主，治以补益脾肾，配合利湿泄浊，活血化瘀；CKD 5期脾肾衰败、湿热瘀毒弥漫，易生诸多变证，治以回阳救逆为主，针对变证随证治之。刘教授指出CKD病机总以脾肾亏虚为本，湿、热、瘀、毒为标，其病机发展呈“本愈虚，邪愈实”的特点，治疗时灵活运用补肾健脾，利湿化浊，活血化瘀之法，擅长应用经方、药对治疗本病，并自拟CKD经验方(黄芪、当归、党参、白术、苍术、茯苓、砂仁、赤芍、丹参、薏苡仁、石韦、白茅根、续断、杜仲、狗脊、生龙骨、牡蛎)以适应病机变化。 |
| 关键词: 慢性肾脏病 分期治疗 刘光珍 医案 |
| DOI：10.3969/j.issn.1674-070X.2022.03.020 |
| 投稿时间：2021-06-28 |
| 基金项目:山西省科技攻关项目（2016ZD0307）；晋药综合开发利用协同创新中心项目（2017-JYXT-32）；山西省重点研发计划重点项目（201603D3113023）；山西省重点研发计划（指南）项目（201703D421024）；山西中医药大学研究生教育创新计划项目（2020JG001）。 |
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| Analysis of professor Liu Guangzhen's experience in treating chronic kidney disease |
| WANG Yao,ZHANG Libo,WU Jinhong,LIU Guangzhen |
| (Shanxi University of Chinese Medicine, Taiyuan, Shanxi 030024, China;Shanxi Academy of Chinese Medicine, Taiyuan, Shanxi 030012, China) |
| Abstract: |
| Liu Guangzhen, a national famous Chinese medicine practitioner, emphasizes staged treatment in the treatment of chronic kidney disease (CKD): CKD stages 1-3a are mainly based on spleen and kidney deficiency, and the main treatment is to nourish the spleen and kidney; CKD stages 3b-4 are mainly deficiency of the spleen and kidney, damp-heat stasis and poison, and the treatment is to nourish the spleen and kidney, cooperated with dissipating dampness to remove turbidity, promote blood circulation and remove blood stasis; CKD stage 5 is mainly spleen and kidney failure, damp-heat and blood stasis toxin diffuse, easy to produce many syndromes, and the treatment is to return to Yang, rescue the rebellion, and treat the changing syndrome according to the syndrome. Professor Liu pointed out that the pathogenesis of CKD is always based on deficiency of the spleen and kidney, with dampness, heat, blood stasis and poison as the targets, the pathogenesis of the disease is characterized by "the more deficiency of the root, the more solid the evil", the method of tonifying the kidney and spleen, removing dampness and turbidity, promoting blood circulation and removing blood stasis are flexibly used. Professor Liu is good at applying classic prescriptions and medicine pairs to treat this disease, and self-made CKD experience prescriptions [Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Dangshen (Codonopsis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Sharen (Amomi Fructus), Chishao (Paeoniae Radix Rubra), Danshen (Salviae Miltiorrhizae Radix Et Rhizoma), Yiyiren (Coicis Semen), Shiwei (Pyrrosiae Folium), Baimaogen (Imperatae Rhizoma), Xuduan (Dipsaci Radix), Duzhong (Eucommiae Cortex), Gouji (Cibotii Rhizoma), Shenglonggu (Os Draconis), Muli (Ostreae Concha)] to adapt to changes in pathogenesis. |
| Key words: chronic kidney disease staged treatment Liu Guangzhen medical record |
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