迟继铭教授顾护脾胃治疗慢性肾脏病

Professor CHI Jiming’s experience in treating chronic kidney disease by protecting spleen and stomach

迟继铭教授认为慢肾脏病以脾肾两虚为主,其中尤以脾虚不运最为关键。脾不运化,升降失司,湿浊毒邪内蕴,其临床表现虚实夹杂、错综复杂并因人而异。迟教授临床根据慢性肾脏病的不同病证,或予升阳益胃汤化裁健脾利湿,祛风化浊;或予半夏泻心汤化裁健脾化浊,温阳利水;或予参芪地黄汤化裁健脾补肾,益气养阴;或予肾衰保肾方化裁健脾补肾,活血降浊,但始终将顾护脾胃之法放于首位,临床收效甚佳。

Professor CHI Jiming believes that chronic kidney disease is mainly caused by deficiency of both spleen and kidney,and especially spleen deficiency is the most critical.Spleen dysfunctions can cause dampness and turbidity accumulated,and its clinical manifestations are complicated and varied from person to person.According to the different symptoms of chronic kidney disease,the Shengyang Yiwei decoction(升阳益胃汤)was used by Professor CHI to invigorate spleen and remove dampness,dispel wind and resolve turbidity.The Banxia Xiexin decoction(半夏泻心汤)was used to invigorate the spleen and remove turbidity,and warm Yang(阳)to promote diuresis.The Shenqi Dihuang decoction(参芪地黄汤)was given to nourish spleen and tonify kidney,and nourish Qi(气)and Yin(阴).The Shenshuai Baoshen prescription(肾衰保肾方)was used to nourish spleen and kidney,invigorate blood and reduce turbidity.The method of protecting spleen and stomach has always been put in the first place by the professor,and the clinical effect is very good.