从肺肾相关探讨补肺益肾法治疗代谢性酸中毒

Discussion on the Treatment of Metabolic Acidosis from the Lung and Kidney Correlation

代谢性酸中毒是临床常见的电解质平衡紊乱类型之一,常继发于各种肾脏疾病、糖尿病酮症酸中毒、乳酸酸中毒等,严重的急性代谢性酸中毒会危及生命。肺、肾二脏在人体呼吸运动、津液代谢等方面相互作用,具有深刻的内在联系,中医学称之为"肺肾相关"。人体由于各种原因发生代谢性酸中毒时,肺、肾二脏发挥的重要代偿调节作用,这可以用"肺肾相关"理论加以阐释。关于代谢性酸中毒的治疗,在常规纠酸治疗的同时联合中医中药补肺益肾,加强肺、肾二脏的功能状态,增强人体自我调节能力,可促进机体功能的恢复,具有很大的临床价值。

Metabolic acidosis is one of the common electrolyte balance disorders in clinic.It often occurs in various kidney diseases,diabetic ketoacidosis,lactic acidosis,etc.Severe acute metabolic acidosis can endanger life.The interaction between lung and kidney in human respiratory movement,body fluid metabolism and other aspects has a profound internal relationship,which is called"lung-kidney correlation"in traditional Chinese medicine.When metabolic acidosis occurs in human body for various reasons,the lung and kidney play an important role in compensatory regulation,which can be explained by the"lung-kidney correlation"theory.With regard to the treatment of metabolic acidosis,it is of great clinical value to combine traditional Chinese medicine with acid-correcting therapy to tonify the lung and kidney,to strengthen the functional state of the lungs and kidneys,and to enhance the self-regulation ability of the human body,so as to promote the recovery of the body’s function.