从五行学说论治慢性肾衰所致恶心呕吐

Treatment of Nausea and Vomiting Caused by Chronic Renal Failure Based on the Theory of Five Elements

恶心呕吐为慢性肾衰患者最早出现的临床表现,中医将其归为"呕吐""呃逆"等范畴。慢性肾衰以肾脏亏虚为本,痰饮、水湿、浊毒内蕴为标,致脾胃升降失司则作呕作吐,现代医学治疗往往收效甚微,中医在慢性肾衰的治疗上具有独特优势。通过五行学说,深入探讨肾脏与其余四脏在脏腑枢机失和上的生克制化关系,运用抑木扶土、金水相生、水火既济、培土生金等治疗大法,使机体"气归于权衡",脾胃升降有序而呕恶自愈。该研究为慢性肾衰恶心呕吐的治疗提供了新思路,附验案一则以佐证。

Nausea and vomiting is the earliest clinical manifestation of patients with chronic renal failure,which is classified as"vomiting"and"hiccup"in traditional Chinese medicine.Chronic renal failure is based on deficiency of kidney,with phlegm,water dampness and turbid toxin as the standard.If the spleen and stomach are up and down,it will cause nausea and vomiting.Modern medical treatment often has little effect.Traditional Chinese medicine has unique advantages in the treatment of chronic renal failure.Through the theory of five elements,the relationship between the kidney and the other four viscera in the disharmony of viscera and axis is deeply discussed.The treatment methods of restraining wood and supporting earth,combining water and metal,combining water and fire,cultivating earth and metal are used to make the body"balance Qi",and the spleen and stomach rise and fall orderly and self heal.This study provides a new idea for the treatment of nausea and vomiting in patients with chronic renal failure,list one case for reference.