余承惠教授治疗高血压肾病经验撷菁

Experience summary of Professor Yu Chenghui in treating hypertensive nephropathy

高血压肾病是常见终末期慢性肾脏病的病因,余承惠教授为江苏省名中西医结合专家,在治疗肾脏病方面经验丰富,首先提出了慢性肾炎“湿热论”,将辨病与辨证相结合,认为高血压肾病是本虚标实之证,病位初在肝肾,最后可累及心脾肺,其基本病机为肝肾亏虚、湿浊内蕴、痰瘀阻络,辨证分为肝肾阴虚型、脾虚痰湿型、血瘀阻络型、浊毒内蕴型四个证型。治疗以滋阴潜阳、祛湿化痰、活血化瘀为主,标本兼顾,扶正兼以祛邪,日常情志调理及饮食调理在控制疾病发展方面也起到重要作用。

Hypertensive nephropathy is a common cause of end-stage chronic kidney disease.Professor Yu Chenghui is a famous expert of integrated traditional Chinese and western medicine in Jiangsu Province,who has rich experience in the treatment of kidney diseases.Firstly,he puts forward the“damp heat theory”of chronic nephritis,combines disease differentiation with syndrome differentiation,and believes that hypertensive nephropathy is the syndrome of deficiency in origin and excess in superficislity.The location of the disease is initially in the liver and kidney,and finally in the heart,spleen and lung.The basic pathogenesis is deficiency of liver and kidney,dampness and turbidity,phlegm and blood stasis obstructing collaterals.It can be divided into four types:yin deficiency of liver and kidney,spleen deficiency and phlegm dampness,qi deficiency and blood stasis and turbid toxin accumulation.The main treatment is nourishing yin and suppressing yang,eliminating dampness and resolving phlegm,promoting blood circulation and removing blood stasis.Giving consideration to both the specimen and the body,strengthening the healthy and eliminating the evil.Daily emotional conditioning and diet conditioning also play an important role in the control of disease development.