马晓燕从“毒”论治慢性肾衰竭

MA Xiaoyan's experience in treating chronic renal failure based on “pathogenic factor of poison” theory

马晓燕教授认为,慢性肾衰竭的根本病机是肾络受损,气化失常,以肾虚为本,湿毒、痰毒、瘀毒内蕴为标,属本虚标实之证。在治疗时创解毒法、排毒法、抗毒法。解毒法即根据病邪性质,采用相应的治法;排毒法即针对毒邪所在,因势利导,予邪以出路;抗毒法即扶助正气,使机体抗毒有力。根据标本缓急,三法有所侧重地联合应用,从而达到延缓慢性肾衰竭进展的目的。

Professor MA Xiaoyan believes that the basic pathogenesis of chronic renal failure is the damage of the kidney channel, leading to the abnormal qi transformation. The essence of syndrome is the deficiency of the kidney, of which appearance are the cumulation of wet poison, phlegm and stasis of blood. In the treatment, Professor MA sets three methods including detoxification, elimination of toxin, anti-toxic.The method of detoxification is that determining the therapy based on the nature of pathogenic factors. Elimination of toxin means that guiding the toxin in the light of its general trend according to the disease location. And the method of anti-toxic is to reinforcing the positive qi, so that the body can resist the pathogenic factors powerfully. According to the degree of urgency, the combination of the three methods is applied emphatically, so as to delay the progress of chronic renal failure.