陈洪宇治疗慢性肾脏病5期非透析期经验

Experience of Professor CHEN Hongyu in Treating Chronic Kidney Disease

[目的]探讨陈洪宇教授治疗慢性肾脏病(Chronic kidney disease,CKD)5期非透析期的临床经验。[方法]分析陈洪宇教授对CKD发病机制的认识和从脾肾论治的学术观点,总结陈洪宇教授应用健脾益肾方治疗CKD5期非透析期患者的经验,并分析其典型案例。[结果]陈洪宇教授认为本病以脾肾亏虚为本,湿、瘀、毒邪为标,而风湿邪气是促使病情活动、迁延不愈的重要危险因素,易致肾虚、肾痹,预后不佳。陈洪宇教授主张顾护脾胃,以益肾健脾为根本大法,并善于应用现代科技手段,强调宏观与微观相结合,辨证论治,对缓解或消除慢性肾脏病患者临床症状、延缓肾功能进展、提高生活质量有着显著疗效。[结论]陈洪宇教授治疗CKD5期非透析期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 CHEN Hongyu in treating chronic kidney disease at the fifth stage（non-dialysis）.[Method]To analyze the professor CHEN Hongyu＇s understanding about the pathogenesis of chronic kidney disease and her academic point of view that treating from spleen and kidney. To sum up the clinical experiences in treating CKD5（non-dialysis） according to invigorating the spleen and kidney,and analyze typical clinical case. [Result] Professor CHEN Hongyu considers that the root cause of CKD is the spleen and kidney deficiency and often accompanied by pathogenic dampness or blood stasis or turbidity toxin. Also rheumatic is an important risk factor for prompting disease activity and protracted course,which is easy to cause kidney deficiency, renal bi and is usually poor for the prognosis. Professor CHEN Hongyu considers protecting spleen and stomach and invigorating the spleen and kidney as the fundamental law,making good use of application of modern technology,emphasizing the combination of macro and micro,treatment based on syndrome differentiation,which has obvious curative effect to remit or eliminate clinical symptoms in patients with chronic renal disease,beneficial to delay the progress of the renal function and improve life quality.[Conclusion] Professor CHEN Hongyu ＇s experience in treating chronic kidney disease fifth stage（non-dialysis）is worth learning and spreading.