马晓燕教授从肝脾肾论治肾性骨病临床经验撷要

The clinical experience of Professor Ma Xiaoyan on the treatment of renal osteopathy from Liver, Spleen and Kidney

马晓燕教授从事慢性肾衰并发症肾性骨病的临床研究多年,经验丰富。笔者有幸在吾师处学习,现将吾师对此病的治疗经验总结如下。据吾师之临床经验总结认为肾性骨病之病因有内因和外因之分。内因以肾元亏虚为主,外因责之于反复外感、七情内伤、饮食失节、劳倦过度而伤肾损脾或水肿、淋证、消渴、眩晕等久病迁延、失治而损伤肾脏。吾师针对此病的病因病机特点,结合大量临床实践,总结形成了滋补肝肾,健脾泄浊,化瘀排毒的治疗方法,扶正祛邪,标本兼顾。辨证治疗,配合适当的饮食及生活调护,临床疗效颇佳。

My mentor Professor Ma Xiaoyan has been engaged in the clinical research on Chronic Kidney Disease-Mineral and Bone Disorde(CKD-MBD)for many years and has accumulated rich clinical experience.I have the honor to follow Professor Ma and sum up her experience on the treatment of the disease as follows.Professor Ma holds that the etiology of CKD-MBD could be divided into the internal and the external factors.The internal factor mainly includes kidney deficiency,the external factors include repeatedly colds,emotional injuries,improper diet,and overstrain damage of the spleen and kidney,or edema,stranguria,diabetes,chronic illness which is persistent for a long time and causes kidney damage.According to the etiology and pathogenesis of the disease and combined with a large number of clinical cases,Professor Ma sums up the therapeutic method of nourishing the liver and kidney,tonifying spleen and relieving turbidity,removing blood stasis and detoxifying.Strengthening the body resistance to eliminate pathogenic factors,dialectical treatment combined with proper diet and life nursing could achieve significant clinical curative effect.