从脾肾论治肾性贫血探讨

Approach to treating renal anemia based on theory of spleen and kidney

肾性贫血是慢性肾脏病的主要并发症之一。肾性贫血的病机为气血亏虚、脾肾不足,病位涉及脾、肾两脏。该病证属虚实夹杂,本虚标实,以正虚为本,邪实为标之候。在治疗过程中脾肾兼顾,可提高临床疗效。此外,在疾病发展中亦有湿浊、气滞、血瘀等兼夹证,治疗时不可偏执一端,应注意随证治之。

Renal anemia is one of main complications of chronic kidney disease.Its pathogenesis is qi-blood deficiency,spleen-kidney deficiency,lesion location involving spleen and kidney.The syndrome of this disease belongs to symptom of deficiency complicated with excess,deficiency in origin and excess in superficiality,deficient vital qi being origin and pathogenic excess being superficiality.In the treatment,spleen and kidney both are taken into consideration,which can improve the clinical efficacy.In addition,there are also miscellaneous syndromes such as dampness turbidity,qi stagnation and blood stasis,etc.in development of the disease.The treatment should not be paranoid to one side,while the attention should be paid to treating according to syndrome.