于大君治疗慢性肾功能衰竭的经验刍议

YU Dajun’s experience in treatment of chronic renal failure

在慢性肾功能衰竭的发生、发展过程中,脾肾亏虚为其根本,湿浊、瘀血、溺毒邪气内蕴为加速疾病进展的关键。于大君教授遵循辨病与辨证相结合及中西医结合的原则,从"扶正"与"祛邪"两方面出发,确立健脾益肾、祛湿化瘀、通腑泄浊的治疗原则。从护胃气就是保肾气角度出发,治疗尤其重视健运脾胃。在扶正的基础上,善用通法给邪以出路,以达正复邪去,五脏通畅,人即安和的目的。

In the course of the occurrence and development of chronic renal failure,deficiency of spleen and kidney is the root,and dampness,blood stasis and toxic and evil qi are the keys to accelerate the progression of the disease. Following the principles of disease differentiation and dialectical combination and the combination of traditional Chinese and western medicine,Professor YU Dajun established the treatment principles of strengthening the spleen and tonifying the kidney,removing blood stasis by clearing damp,and clearing the viscera and removing the turbidity from the two aspects of"strengthening the body"and"dispelling evil". From the point of view that protecting stomach qi is protecting kidney qi,the treatment pays special attention to nourishing spleen and stomach. On basis of strenthening the body,the dredging method was used to expell the evil and sooth the viscera to make people feel comfortable.