李学铭教授从脾胃论治慢性肾炎

Professor LI Xue-ming's Experience in Treating Chronic Glomerulonephritis by Regulating Spleen and Stomach

介绍国家级名中医李学铭教授从脾胃论治慢性肾炎的经验与特色。脾为后天之本,居中属土,运化一身之水谷精微,与慢性肾炎的发生关系密切,若脾失健运,则运化失司,水液内停,气机失常,出现纳呆、便溏、浮肿、尿浊等,临证当顾护脾胃。文章阐述脾胃学说在慢性肾炎发生中扮演的作用,从健脾利水、补脾益肺、温补脾肾、健脾和胃等方面,针对不同证型,分别提出相应的治则治法。并指出,临床切不可拘泥于一方一法,务必审证求因,辨证论治。

Introduces the experience and feature of Professor LI Xue-Ming,who is a famous national specialist of TCM,treating chronic glomerulonephritist by regulating spleen and stomach.The spleen provides the material basis for the acquired constitution,located in the middle of the body,is the principal organ of digestion,and closely related to the incidence of chronic glomerulonephritis.If the spleen loses its transporting function,water remained in the body,qi movement is disturbance,leading to anorexia,diarrhea,edema,turbid urine,etc.So reinforcing and protecting the spleen and stomach is very important in clinic.From the aspect of strengthening spleen and inducing diuresis,reinforcing the spleen and lung,warming recuperating spleen and kidney,reinforcing spleen and stomach,according to different types of syndromes,suggests relevant therapeutic principle and method.And emphasizes the determination of etiologic factors based on differentiation and syndrome differentiation and treatment.