慢性肾脏病与微观证治学研究

Study on Chronic Kidney Diseases and Doctrine of Microscopic Syndrome Differentiation and Treatment

慢性肾脏病不仅包涵IgA肾病等原发性肾小球肾炎,还包括紫癜性肾炎,糖尿病、高血压等引起的肾损害,以及伴随年龄增长而引起的肾小球滤过率下降等疾患。本病属中医肾热病、肾风、肾水、肾劳等范畴。临证当首分虚实,虚证用补肾、滋肝、健脾、益气等法以理虚,实证用熄风、利水、祛痰、化瘀等法以治实。见微知著,细心辨证,据证选方用药。

Chronic kidney diseases include not only primary glomerulonephritis and IGA nephropathy but also include purpuric impairment of renal function caused by nephritis, diabetes and hypertension and glomerular filtration rate descent due to natural aging. The diseases belong to febrile disease of kidney, kidney wind, kindney water and kidney overstrain in TCM. To cure the disease , a physician should distinguish deficiency syndrome and excess syndrome. Methods of recuperating the kidney, nourishing the liver, invigorating the spleen and benefiting the vital energy are adopted to regulate deficiency syndrome. Extinguishing internal wind, disinhibiting water, eliminating sputum and driving out blood stasis were adopted to treat excess syndrome. A physician should get to know the remarkable symptoms by oblong the microscopic part, differentiate syndrome carefully and make a prescription acoording to different syndromes.