南征教授运用药对治疗慢性肾脏病经验

Professor Nan Zheng’s experience in the treatment of chronic kidney disease with couple medicines

南征运用药对治疗慢性肾脏病,认为“毒损肾络、命门火衰”为本病的病机关键,确立益肾解毒通络的治疗方法,临证常用补气益肾药对黄芪-黄精、黄芪-党参,清热解毒药对土茯苓-白茅根、土茯苓-酒大黄、蚤休-爵床,祛风通络药对全蝎-核桃、蝉蜕-僵蚕,活血化瘀通络药对穿山甲-血竭、桃仁-红花、益母草-丹参。从各药的功效以及现代药理学研究结果分析,其用药特点及规律体现了益肾解毒通络法的精髓。

Professor Nan Zheng believes that the key pathogenesis of chronic kidney disease lies in“toxicity damage to kidney collaterals and decline of vital gate fire”.Accordingly,he establishes the treatment method of invigorating kidney qi,removing toxicity and dredging collaterals,and is good at using couple medicines in the treatment the disease.In clinical practice,he usually opts for couple medicines of milkvetch root-solomonseal rhizome,milkvetch root-tangshen to invigorate kidney qi,couple medicines of glabrous greenbrier rhizome-cogon grass rhizome,glabrous greenbrier rhizome-wine-treated rhubarb root and rhizome,manyleaf paris rhizome-creeping rostellularia herb for the purpose of clearing heat and removing toxicity,couple medicines of scorpion-English walnut seed for the purpose of dispelling pathogenic wind and dredging collaterals,and couple medicines of pangolin scales-draconis resin,peach seed-saffl ower,motherwort herb-danshen root for promoting blood circulation and removing blood stasis.Analyzed from the aspects of the drug effi cacy and modern pharmacology research results,the characteristics and rules of medication embody the essence of invigorating kidney qi,removing toxicity and dredging collaterals.