基于“化不可代”思想辨治慢性肾萎缩经验

Experience on differentiation and treatment of chronic renal atrophy based on‘the transformation cannot be replaced'

慢性肾萎缩是常见肾脏疾病,“化不可代”思想指导慢性肾萎缩的临床治疗具有启发性意义。肾萎缩病机为肾精亏虚,气化失司。治疗上重视扶正治肾,治肾时平衡肾的功能与形质的层次关系,从肾精这一根本处着手恢复肾脏自身功能,治疗及用药注重:温润育阴贵形质,辛润助阳复生气,祛湿泄浊助气化,活血化瘀兼通络。“化不可代”思想指导下治疗肾萎缩具有良好的临床疗效,扶正治肾填精可为治疗慢性肾萎缩的关键治法,临床值得参考应用。

Chronic renal atrophy is a common kidney disease.It is instructive to guide the clinical treatment of chronic renal atrophy with the thought of'the transformation cannot be replaced'.The pathogenesis of renal atrophy is kidney essence deficiency,gasification loss.In terms of treatment,attention should be paid to nourishing the kidney,balancing the hierarchical relationship between the function and the shape and quality of the kidney when treating the kidney,and restoring the function of the kidney itself from the fundamental point of kidney essence.Treatment and medication should be paid attention to:warming the yin and nourishing the shape and quality,Xinrun helping yang to recover vitality,dispelling dampness and expelling turbidity to help qi movement,promoting blood circulation and removing blood stasis as well as regulating the channels.The treatment of renal atrophy under the guidance of the idea of the transformation cannot be replaced'has a good clinical effect.The treatment of kidney replenishment by strengthening the body resistance can be the key treatment of chronic renal atrophy,which is worthy of reference and application.