沈元良辨治尿浊经验采撷

SHEN Yuan-liang's experience in treating turbid urine

文章介绍全国老中医药专家学术经验继承工作指导老师沈元良教授治疗尿浊的经验。文章从尿浊的病因病机、辨证分型、对药经验、验案举隅4个方面进行阐述,并附有按语和分析体会。沈老师认为治疗本病以中医辨证分型为基础,结合西医诊疗手段,治疗则首分虚实;其次应重视调理脾肾,健脾化湿、益肾强腰的药物常贯穿始终;再次,在辨证论治的基础上有针对性的选择对药,有助于提高本病的治疗效果,也是沈老师治疗本病的一个特色;同时,应注意饮食调养,适当体育锻炼等。沈老师辨治尿浊的经验方法可靠,疗效确切,对临床有一定的指导意义。

The paper introduces the experience of treating turbid urine from Professor SHEN Yuan-liang, who is a famous TCM expert and advisor of academic experience. The article elaborates turbid urine from four aspects, including the etiology and pathogenesis, syndrome differentiation, the experience of the matched pair of medicine, and the medical records, with notes and analysis. Professor SHEN Yuan-liang holds the view that when we treat turbid urine, we should not only base on TCM syndrome differentiation, but also combine Western medical treatment. Firstly, we should distinguish between deficiency and excess. Second, we should pay attention to regulate spleen and kidney, and drugs of invigorating spleen for eliminating dampness and invigorating kidney and strengthening waist need to run through the treatment. Third, selecting the appropriate matched pair of medicine on the basis of syndrome differentiation and treatment is conducive to improve the therapeutic effects, and it is also a feature of treating turbid urine from Professor SHEN Yuan-liang. Besides, dietetic regulation and physical exercise are necessary. The experience of treating turbid urine from Professor SHEN Yuan-liang is reliable and has affirmative clinical efficacy, which can guide the clinic treatment.