许筠主任医师“本虚湿瘀”论治慢性肾脏病经验

Realizing the Experience of Chief Physician Xu Jun in Treating Chronic Kidney Disease with “Deficiency and Damp Stasis”

许筠主任医师根据慢性肾脏病的临证经验,认为病机以“本虚湿瘀”为主,即在病变早期以肺肾气虚多见,渐之以脾肾亏虚为主,全程见湿热缠绕,瘀血阻络,久之宿疾化生浊毒,积弊沉疴,致使疾病迁延难愈。治疗上以固本祛邪为原则,自拟固本益肾方,个体化加减调整,临床疗效显著,同时将方中黄芪与党参、淫羊藿与牛膝、当归与大黄等3对药对进行归纳总结,探寻组方及用药规律,传承其学术思想。

This article is based on the experience of my teacher Xu Yun, chief physician, in treating chronic kidney disease with “deficiency and damp stasis”.According to her clinical experience in chronic kidney disease, she believes that the pathogenesis is mainly “deficiency of dampness and blood stasis”,that is, in the early stage of the disease, deficiency of lung and kidney qi is more common, and gradually the deficiency of spleen and kidney is the main disease, and the whole process sees damp-heat entanglement.Blood stasis obstructs the collaterals, and the long-term disease turns into turbid poison, which accumulates maladies and scabs, which makes the disease protracted and difficult to heal.The treatment is based on the principle of consolidating the root and eliminating pathogenic factors.The formula of Guben and Yishen is formulated by itself, with individualized addition and subtraction adjustment, and the clinical effect is remarkable.Summarize them, explore the tutor’s prescriptions and medication rules, and inherit their academic thoughts.