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2025, 03, v.44 327-330
国医大师吕仁和运用活血化瘀药分期论治慢性肾脏病
基金项目(Foundation): 北京市中医药科技发展资金项目(编号:JJ-2020-42)
邮箱(Email): natashalee@163.com;
DOI: 10.16295/j.cnki.0257-358x.2025.03.015
发布时间: 2025-03-05
出版时间: 2025-03-05
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摘要:

慢性肾脏病是临床常见的难治病,国医大师吕仁和教授具有丰富的临床经验,提出慢性肾脏病的肾络微型癥瘕病机,认为血瘀是其形成的关键环节,并主张分期论治慢性肾脏病,即早期(虚损期)、中期(虚劳期)、晚期(虚衰期),根据各期肾络瘀滞病机特点,分别施以活血凉血宣络、化瘀利水通络、破血逐瘀搜络之药,同时配以疏风散邪、清热解毒、利水泄浊、扶正补虚之法,紧扣病机,灵活用药,体现吕老独特的临床诊疗思路。

Abstract:

Chronic kidney disease(CKD) is a common and difficult clinical disease. Professor LYU Renhe,a Traditional Chinese Medicine Master with rich clinical experience,puts forward the pathogenesis of kidney collateral miniature mass in CKD and holds that blood stasis is the key link in its formation. He also advocates the treatment of CKD by stages,namely early stage(stage of deficiency damage),middle stage(stage of deficiency strain) and late stage(stage of deficiency failure). According to the pathogenesis characteristics of kidney collateral stasis in each stage,drugs for promoting blood circulation,cooling blood and promoting collaterals,drugs for removing blood stasis and relieving water retention and dredging collaterals,drugs for removing blood stasis and searching collaterals should be applied respectively combined with the method of dispersing wind and dispelling evil,clearing heat and detoxifying,removing water and expelling turbidities,strengthening healthy qi and tonifying deficiency,which is closely related to the pathogenesis,the flexible medication reflects Master LYU's unique clinical diagnosis and treatment ideas.

参考文献

[1]上海慢性肾脏病早发现及规范化诊治与示范项目专家组,高翔,梅长林.慢性肾脏病筛查诊断及防治指南[J].中国实用内科杂志,2017,37(1):28-34.

[2]王耀献,刘尚建,付天昊,等.肾络微型癥瘕三态论探析[J].北京中医药大学学报(中医临床版),2010,17(3):17-18.

[3]刘尚建,王翚,王耀献,等.“肾络微型癥瘕”理论初探[J].中国中医基础医学杂志,2009,15(9):649-650.

[4]程亚清,李靖,曲海顺,等.吕仁和教授治疗慢性肾脏病用药经验研究[J].世界中医药,2021,16(22):3376-3382.

[5]张献之,李靖,张正媚,等.国医大师吕仁和教授治疗糖尿病肾病用药经验的数据挖掘研究[J].中国中西医结合肾病杂志,2023,24(8):720-722.

[6]张楷童,肖永华,赵进喜,等.国医大师吕仁和治疗慢性肾脏病用药规律研究[J].世界中医药,2023,18(10):1458-1463,1468.

[7]韦杰,张萍心,李东阳,等.基于数据挖掘分析吕仁和教授治疗糖尿病的用药规律[J].吉林中医药,2022,42(10):1207-1210.

[8]赵进喜,傅强,冯兴中,等.承古求用,重视分期辨证;纳新求好,强调综合治疗[J].环球中医药,2023,16(8):1550-1554.

[9]郭永红,李晓翠,张宏,等.吕仁和分期辨证论治慢性肾脏病常用16法[J].北京中医药,2010,29(9):671-672,698.

[10]王紫雯,李梓荣,杨俏丽,等.国医大师吕仁和分期治疗隐匿性肾小球肾炎经验[J].山东中医杂志,2022,41(8):884-887.

[11]傅强,王世东,肖永华,等.吕仁和教授分期辨治糖尿病学术思想探微[J].世界中医药,2017,12(1):21-24.

[12]王诗尧,石晓琪,史银春,等.国医大师吕仁和教授应用猪苓分期论治慢性肾脏病经验[J].世界中医药,2021,16(8):1289-1292.

[13]张秉成.本草便读[M].张效霞,校注.北京:学苑出版社,2010:143.

[14]邓森,徐倩,李明权.李明权教授运用水陆二仙丹加味治疗蛋白尿经验[J].亚太传统医药,2017,13(19):87-88.

基本信息:

DOI:10.16295/j.cnki.0257-358x.2025.03.015

中图分类号:R277.5;R249

引用信息:

[1]廖春满,曹艳冬,周梦远,等.国医大师吕仁和运用活血化瘀药分期论治慢性肾脏病[J].山东中医杂志,2025,44(03):327-330.DOI:10.16295/j.cnki.0257-358x.2025.03.015.

基金信息:

北京市中医药科技发展资金项目(编号:JJ-2020-42)

发布时间:

2025-03-05

出版时间:

2025-03-05

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