马晓燕教授以内毒论治肾性贫血

Treatment of renal anernia by internal toxin from Professor MA Xiaoyan

马晓燕教授将肾性贫血病机概括为本虚标实,虚实夹杂,以脾肾两虚,肾络不荣为本,内毒瘀阻,肾络不通为标。其中,内毒包含病因和病机双重概念,既是中医病因学中导致疾病发生对人体造成损害的致病因素,也是疾病发展进程中蕴积体内而化生的病理产物,复而诱导疾病的演变,再次侵害人体,恶性循环。内毒瘀阻、肾络不通为肾性贫血在慢性肾脏病中后期的主要病机,故以解毒、排毒、抗毒之法论治,强调"审因论治"以解毒,通腑、利尿、敷脐、药浴以排毒,扶助正气以抗毒,尤以调理脾胃为重。全方位、多途径祛毒外出,体现了中医"治病求本"的整体观念。

Based on the theory of traditional Chinese medicine,combined with many years of clinical practice.Professor MA summarized the renal anemia disease as primary asthenia-secondary sthenia syndrome,deficiency and excess inclusion. In origin of deficiency of the spleen and kidney,kidney collateral,in superficiality of the stasis of internal toxin and kidney collateral,internal toxin contains double concept of etiology and pathogenesis. It is not only the pathogenic factor that causes the disease to cause damage to the human body in the etiology of traditional Chinese medicine,but also the pathological product from the development of the disease in the process of accumulation in body metaplasia. Induce the evolution of the disease,invades human body again in a vicious circle way. The stasis of internal toxin and kidney collateral is the main pathogenesis of renal anemia in chronic kidney disease. So using the treatment of detoxification,excretion and antitoxic. Emphasis on ＂trial for the treatment＂,in order to detoxification. Bowel-relaxing,umbilicus,medicated bath to excretion,strengthening body resistance to antitoxic,especially in order to regulate the spleen and stomach,comprehensive,different ways to dispel poison out. Reflect ＂seeking the primary cause of disease in treatment＂concept of traditional Chinese medicine.