中医标本兼顾治疗慢性肾脏病的方法概述

Overview about relieving primary and secondary symptoms therapy of TCM applied in chronic kidney disease

慢性肾脏病(CKD)的发病率逐年增高,不能完全控制CKD的进行性发展,相当多的患者最终将进展为终末期肾脏病(ESRD)阶段。中医在CKD治疗领域具有独特优势,在减轻症状、降低血中氮质、保护残存肾单位等方面有较好的作用。治疗上健脾补肾、益气养阴、滋阴温阳以治其本;化湿泄浊、活血化瘀、泄热解毒以治其标。临床上应正确辨证,合理运用,攻补兼施,标本兼顾,随证加减,以达到减轻症状、改善肾功能、保护残存肾单位、延缓肾衰发展的目的。

The incidence of chronic kidney disease（CKD） increases year by year. Because of the progressive development of CKD is out of control, quite a lot of CDK patients eventually enters into the end-stage renal disease（ESRD）. Traditional Chinese medicine has unique advantages in the treatment of CKD, which embodies in alleviating symptoms, reducing azotemia, and protecting the residual nephron. The TCM therapies for exerting a permanent cure are strengthening spleen and kidney, benefiting qi and nourishing yin, and warming yang, and the TCM therapies for alleviating the symptoms are eliminating dampness for and dispelling turbidity, promoting blood circulation for removing blood stasis and clearing heat and removing toxicity. In order to reduce the symptoms, improve the kidney function, protect residual nephron and delay the development of renal failure, the treatment should be based on correct syndrome identification and rational used, combined with reinforcement and elimination, and treated both manifestation and root cause of disease.