李学铭温肾化气法治疗阴水水肿

LI Xueming Treating Yin Edema by Warming Kidney and Transforming Qi Method

李学铭教授治疗阴水水肿强调温肾化气,行水消肿。常以生地黄、山茱萸、山药、茯苓、淡附片、黄芪、党参、甘草八味药合为主方,方中重用附子温阳,黄芪补气,茯苓健脾渗湿,或加干姜、炮姜助热,而慎用利水伤肾之品。李老认为治疗肾性水肿,只要辨证得当,即当守方,切忌短期内不效更方,使换方无数而病不得愈。

Professor LI Xueming emphasized warming kidney and transforming qi,promoting diuresis to resolve edema in treating yin edema.He commonly used eight herbs such as:Shengdihuang(Rehmanniae Radix),Shanzhuyu(Corni Fructus),Shanyao(Dioscoreae Rhizoma),Fuling(Poria),Danfupian(Aconiti Lateralis Radix Praeparata),Huangqi(Astragali Radix),Dangshen(Codonopsis Radix),Gancao(Glycyrrhizae Radix Et Rhizoma),as the main medicine of prescription,in which more Fuzi(Aconiti Lateralis Radix Praeparata)was used to warm yang,Huangqi(Astragali Radix)to tonify qi,Fuling(Poria)to invigorate spleen and drain dampness,sometimes Ganjiang(Zingiberis Rhizoma)or Paojiang(Zingiberis Rhizoma Praeparatum)was added to assist heat.He cautiously used the medicine of promoting diuresis to avoid impairment of kidneys.In the treatment of nephrotic edema,as long as the pattern differentiation is proper,we should insist on the original prescription.As constant effort yields sure success,we should not be distracted and change prescriptions frequently in vain.