林启展从湿论治慢性肾衰竭经验

Clinical Experience of Lin Qizhan in Treating Chronic Renal Failure from Dampness

林启展教授认为,慢性肾衰竭主要病机为脾肾两虚,湿浊热瘀潴留,本病病情复杂多变,临证应抓住其本虚标实的特点,并强调湿邪贯穿于慢性肾衰竭全程,是病情不断进展的关键因素,故需重视“祛湿”。林教授认为,慢性肾衰竭患者早期主要为正气虚损,中期脾肾虚损愈加严重,晚期湿邪化为浊毒,湿邪在不同时期亦各有特点,临证活用芳香化湿法、清热利湿法、养阴利湿法、活血泄浊法治疗,取得较好疗效。

Professor Lin Qizhan holds that the main pathogenesis of chronic renal failure is deficiency of spleen and kidney,retention of dampness,turbidity,heat and blood stasis.Chronic renal failure is complex and changeable,and its clinical diagnosis and treatment should be based on the characteristics of deficiency in nature and excess in superficiality.Professor Lin emphasizes that dampness runs through the whole process of chronic renal failure and also is the key factor for the continuous progress of chronic renal failure,so he pays more attention to“dispelling dampness”in clinical practice.Professor Lin believes that the early stage of chronic renal failure is mainly due to the deficiency of healthy qi.In the middle stage,the deficiency of spleen and kidney becomes more and more serious.In the late stage,dampness turns into turbidity toxin.Therefore,dampness also has its own characteristics in different periods.Clinically,the treatment of aromatic dampness,clearing heat and removing dampness,nourishing yin and removing dampness,and promoting blood circulation and removing turbidity has achieved good results.