张雪梅教授从脾论治慢性肾脏病的经验

Experience of Professor Zhang Xuemei in Treating Chronic Kidney Disease from Spleen

[目的]探讨张雪梅教授治疗慢性肾脏病(Chronic kidney disease,CKD)的临床经验。[方法]分析张雪梅教授对CKD发病机制的认识和从脾论治的学术观点,总结张雪梅教授分期分型论治CKD的经验,并分析其典型案例。[结果]张雪梅教授认为本病以脾肾亏虚为本,痰湿、湿热、浊毒、瘀血为标,主张重视脾胃、从脾治肾,并根据CKD 1-5期的不同证候特点,进行分期分型论治;特别重视CKD3-4期在本病发展的特点和正确治疗的重要性,并且采用中药内服配合保留灌肠的方法治疗CKD3-4期,内服方以补虚健脾和胃为主,灌肠方以攻邪泄毒为主,在临床上取得较好的疗效。[结论]张雪梅教授治疗CKD的独到见解和丰富的临床经验值得学习和推广。

[Objective]To discuss the clinical experiences and unique views of professor Zhang Xuemei in treating chronic kidney disease. [Method]To analyze the understanding of professor Zhang Xuemei about the pathogenesis of chronic kidney disease.To sum up her academic point of view that treating kidney from spleen and special treatment. To sum up the clinical experiences in treating CKD according to staging and classification and analyze typical clinical case. [Result] Professor Zhang Xuemei considers that the root cause of CKD is the spleen and kidney deficiency,and often accompanied by phlegm-damp or damp-heat or turbidity toxin or blood stasis.She emphasizes that the spleen and stomach are very important and presents an idea that treating kidney from spleen.To treat the patients who have chronic kidney disease（CKD1-5） according to the different stages and different syndromes.She emphasizes CKD3-4plays an important role in the progress and treatment of CKD. Professor Zhang Xuemei uses the method of oral Chinese herbal medicine and retention enema of Chinese traditional medicine to treat CKD3-4, oral Chinese herbal medicine focuses on tonifying deficiency and strengthening the spleen and stomach,retention enema of Chinese traditional medicine should focus on eliminating evil and discharging poison. [Conclusion] Professor Zhang Xuemei ＇s experience in treating chronic kidney disease is worth to spread.