龚丽娟辨治慢性肾功能衰竭经验
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摘要
龚丽娟教授辨证论治慢性肾功能衰竭时重视原发病的辨识,将辨病与辨证相结合,把握其病机特点,同时结合现代实验室检查及肾穿刺病理,以中医的宏观辨证为主,辅以现代医学的微观辨病,以更全面地认识疾病,诊治患者时做到既统一规范又兼顾个体化,体现了中医因人而异,同病异治的特色。龚丽娟教授认为慢性肾功能衰竭以正虚为本,脾肾亏虚是核心,标实是病进之因,浊毒是主要致病之邪,治疗当分期论治,兼顾原发病,早期以扶正为主,中期标本兼治,晚期以祛邪为先,综合一体化治疗,多途径多方法给药,以提高疗效。
Professor Gong Li-juan attaches great importance to the identification of the primary disease in the treatment of chronic renal failure based on syndrome differentiation.She combines disease differentiation with syndrome differentiation and grasps its pathogenesis characteristics.At the same time,she combines modern laboratory examination and renal puncture pathology to give priority to macro-syndrome differentiation of TCM and micro-disease differentiation of modern medicine,so as to understand the disease more comprehensively.In the diagnosis and treatment of patients,both standardization and individualization are achieved,which embodies the characteristics of TCM that differs from person to person and treats the same disease differently.Professor Gong Li-juan believes that the fundamental cause of chronic renal failure is deficiency of healthy qi,deficiency of both spleen and kidney is the core,excessive secondary aspect is the cause of disease progression,turbid toxin is the main pathogenic factor.Treatment should be divided into stages,taking into account the primary disease,strengthening the body′s healthy qi in the early stage,treating both primary and secondary aspects in the middle stage,eliminating pathogens in the late stage.Comprehensive integrated treatment,multi-channel and multi-method administration should be adopted in order to improve the curative effect.
Professor Gong Li-juan attaches great importance to the identification of the primary disease in the treatment of chronic renal failure based on syndrome differentiation.She combines disease differentiation with syndrome differentiation and grasps its pathogenesis characteristics.At the same time,she combines modern laboratory examination and renal puncture pathology to give priority to macro-syndrome differentiation of TCM and micro-disease differentiation of modern medicine,so as to understand the disease more comprehensively.In the diagnosis and treatment of patients,both standardization and individualization are achieved,which embodies the characteristics of TCM that differs from person to person and treats the same disease differently.Professor Gong Li-juan believes that the fundamental cause of chronic renal failure is deficiency of healthy qi,deficiency of both spleen and kidney is the core,excessive secondary aspect is the cause of disease progression,turbid toxin is the main pathogenic factor.Treatment should be divided into stages,taking into account the primary disease,strengthening the body′s healthy qi in the early stage,treating both primary and secondary aspects in the middle stage,eliminating pathogens in the late stage.Comprehensive integrated treatment,multi-channel and multi-method administration should be adopted in order to improve the curative effect.
引文
[1] 刘玉宁,方敬爱,王珍.从伏邪论治慢性肾脏病的思路与方法[J].中国中西医结合肾病杂志,2017,18(2):95-96.
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[12] 申艳红,何泽云.何泽云运用健脾补肾泄浊法治疗慢性肾脏病2-3期经验[J].湖南中医杂志,2017,33(5):18.
[13] 王彤,张月红,宋锦华,等.刘秀萍从肝论治慢性肾脏病经验[J].北京中医药,2018,37(1):62.
[14] 白东海,王艳云,张南南,等.中药穴位贴敷治疗慢性肾脏病所致水肿疗效观察[J].北京中医药,2017,36(5):471.
[15] 王丹丹,于亭,刘婉婷,等.中药保留灌肠治疗慢性肾功能衰竭30例疗效观察[J].中医临床研究,2017,9(23):119-120.
[16] 张雪琴,张晓艳.中医外治十法治疗慢性肾衰竭[J].中医临床研究,2017,9(26):141-143.
[2] 马铖,张史昭.从湿阻气机论治慢性肾脏病[J].新中医,2018,50(1):173.
[3] 齐振强,李伟.分消走泄在慢性肾脏病湿热证治疗中的应用[J].中华中医药杂志,2018,33(5):1942.
[4] 黄为钧,赵进喜,王世东,等.慢性肾脏病风邪因素的临床表现即证候类型文献研究[J].中医杂志,2017,58(7):603.
[5] 马源,朱辟疆.中医膏方在慢性肾脏病的治疗优势[J].四川中医,2018,36(1):53.
[6] 芮筱青,黄润山.黄明非主任治疗慢性肾衰竭临证经验[J].临床医药文献杂志,2017,4(34):6731.
[7] 王永生,刘旭生.刘旭生教授运用补脾益肾方治疗慢性肾衰竭经验体会[J].中国中西医结合肾病杂志,2015,16(8):666.
[8] 张迪,马晓燕.马晓燕从“毒”论治慢性肾衰竭[J].长春中医药大学学报,2018,34(4):687.
[9] 席宁,高菁,于秀辰,等.商宪敏教授治疗慢性肾衰竭经验撷萃[J].现代中医临床,2015,22(5):47.
[10] 许勇慎,阮诗玮.通阳法在慢性肾脏病的临床运用[J].山东中医杂志,2017,36(8):702.
[11] 徐建龙,余仁欢,聂莉芳.聂莉芳教授益气养阴法治疗慢性肾脏病临床经验[J].中国中西医结合肾病杂志,2017,18(5):379-380.
[12] 申艳红,何泽云.何泽云运用健脾补肾泄浊法治疗慢性肾脏病2-3期经验[J].湖南中医杂志,2017,33(5):18.
[13] 王彤,张月红,宋锦华,等.刘秀萍从肝论治慢性肾脏病经验[J].北京中医药,2018,37(1):62.
[14] 白东海,王艳云,张南南,等.中药穴位贴敷治疗慢性肾脏病所致水肿疗效观察[J].北京中医药,2017,36(5):471.
[15] 王丹丹,于亭,刘婉婷,等.中药保留灌肠治疗慢性肾功能衰竭30例疗效观察[J].中医临床研究,2017,9(23):119-120.
[16] 张雪琴,张晓艳.中医外治十法治疗慢性肾衰竭[J].中医临床研究,2017,9(26):141-143.