慢性肾衰竭病因病机与临证辨治

Etiology and Pathogenesis and Differential Treatment of Chronic Renal Failure

阐述慢性肾衰竭的病因病机,主张对病因的认识应以正气衰败、湿浊潴留为主题,"虚、实、瘀、毒"为四大病理机制,而虚是本病的基本病机,且以肾虚为中心,日久波及他脏。在临证辨治中,提倡"审因溯源,标本兼治",认为结合五脏虚损进行辨证施治更符合本病的演变规律。

This paper elaborated on the causative factors and pathogenesis of chronic renal failure. In the respect of causative factors, more emphasis should be put on the weakness of vital qi and retention of dampness and turbidity： in the pathogenesis respect, ＂deficiency, excess, stasis and toxin＂ should be regarded as the four key factors, The fundamental mechanism of the disease is deficiency, especially the kidney deficiency which would affeet the other visceras in the long run. As for the clinical treatment based on pattern identification, both the symptoms and root causes should be stressed. Moreover, the deficiency of the five-viscera should be taken into account in the pattern identification and treatment to follow the progression law of chronic renal failure.