余承惠运用解毒法治疗慢性肾脏病皮肤瘙痒经验

YU Chenghui’s Experience in Treating Skin Pruritus of Chronic Kidney Disease with Detoxification Method

余承惠主任医师对慢性肾脏病皮肤瘙痒症有独到的临床经验。将该病的病机概括为肾虚毒盛,强调肾气亏虚、湿毒蕴于肌肤是其发病的关键。辨证分为风阳挟毒、血瘀毒蕴、阴虚燥毒、湿毒走窜、禀赋畏毒五型。治疗上重视固护正气,强调解毒治法,善于辨证运用皮类中药,并结合中医外治法如足浴或油膏,临床疗效显著。

Chief physician YU Chenghui has unique clinical experience in the treatment of skin pruritus in chronic kidney disease.The pathogenesis of skin pruritus in chronic kidney disease is summarized as kidney deficiency with toxin,therefore,it should be emphasized that kidney deficiency and damp toxin are the key to its onset.In the treatment,attention should be paid to the strengthening of vital energy,detoxification,and the use of cortex based on syndrome differentiation.Combined with certain external therapies such as foot bath or ointment,the clinical effect is remarkable.