从《金匮要略·虚劳篇》探讨慢性肾衰竭的治疗法则

Investigation of therapeutic principles for chronic renal failure based on Synopsis of Golden Chamber: Consumptive Disease

总结仲景治疗虚劳之法,探讨慢性肾衰竭的病因病机及治则治法。病因以五劳七伤损及脏腑为要,治则包括:(1)甘温健脾,斡旋中州;(2)补肾填精,扶正固本;(3)慢病缓图,兼顾标本。后世在其基础上不断补充丰富,认为"风湿、虚、瘀、浊毒"常相互交织,促进慢性肾衰竭的发展,故临床诊治时须"有是证,用是药",不可拘泥。

This paper summarizes the treatment method for consumptive disease proposed by Zhang Zhongjing, an eminent Chinese physician in the Han Dynasty, and discusses the etiology and pathogenesis of chronic renal fail- ure and the therapeutic principles for this disease. Chronic renal failure is mainly caused by five consumption and seven damages that injure the viscera and bowels. The therapeutic principles include （ 1 ） strengthening the spleen with sweet and warm - natured drugs and regulating the central region; （2） nourishing kidney - essence and strengthening and consolidating body resistance;（3 ） treating chronic diseases slowly and treating both manifesta- tions and root causes of diseases. In addition, subsequent physicians thought wind - dampness, deficiency, stasis, and turbid toxin are often interwoven, promoting the development of chronic renal failure. Therefore, syndrome differenti- ation - based treatment should be followed in the clinical diagnosis and treatment of chronic renal failure.