童少伯治疗慢性肾脏病常用药对浅析

Analysis of TONG Shao-bo’s couplet medicines for chronic kidney disease

童少伯教授认为慢性肾脏病的基本病机特点为正虚邪实,早期脾肾气阴两虚为主,日久脾肾失司,水湿不化,导致水湿、瘀血、湿热等病理因素产生,伴随全程。童老对慢性肾脏病的诊治有其独到的见解和心得,在治疗慢性肾病时注重扶正与祛邪,补益法和祛湿降浊化瘀通络法并重,擅于将中药药对灵活运用在肾脏病的临床治疗中,如黄芪与当归、菟丝子与枸杞子、生地黄与牡丹皮、黄连与肉桂、薤白与丹参、知母与黄柏、益智仁与粉萆薢、清水豆卷与茯苓皮、陈皮与半夏、鬼箭羽与汉防己,并取得显著效果。今择其常用药对介绍如下,探寻其用药规律,传承其学术思想。

Professor TONG Shao-bo believes that the basic pathogenesis of chronic kidney disease is the deficiency of the spleen and the kidney.In the early stage,the spleen and kidney qi and yin deficiency are the main ones.Over time,the spleen and kidney lose their function,and the dampness will not change,leading to the production of dampness,blood stasis,damp-heat and other pathological factors,accompanying the whole process.Professor TONG has unique insights and experience in the diagnosis and treatment of chronic kidney disease.In the treatment of chronic kidney disease,both tonifying method and removing dampness and turbidity,removing blood stasis and dredging collaterals are emphasized,he is good at using Chinese medicine flexibly in clinical treatment of kidney diseases,such as Astragalus membranaceus and Angelica sinensis,dodder seed and chinese wolfberry,Rehmannia glutinosa and peony bark,Coptis chinensis and Cinnamon,bulbus Allii Macrostemonis and Salvia Miltiorrhiza,Anemarrhena asphodeloides and Phellodendron chinense,Alpinia oxyphylla and dioscoreae hypoglaucae rhizoma,Sojae semen germinatum and Poria cocos,Tangerine Peel and Pinellia ternata,Euonymus alatus and mealy fangji,and has achieved remarkable results.Here are some of the commonly used medicines to explore the rules of drug administration and inherit his academic thoughts.