国医大师吕仁和从肝论治慢性肾脏病经验探微
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摘要
慢性肾脏病病因病机错综复杂,虽其病位在肾,但涉及五脏六腑功能失调,其病理基础为各种原因造成的肾络微型癥瘕形成,影响肾脏各种功能。国医大师吕仁和教授治疗慢性肾脏病,从肾出发,又不囿于肾脏,有其独特的临床经验。文章则总结了吕仁和教授从肝论治慢性肾脏病的经验。吕仁和教授认为其理论基础在于"肝肾同源",其主要治疗思路有三:疏肝理气调肝气郁结、清利湿热祛肝经之邪、滋水涵木养肝阴不足。文章总结了吕仁和教授从肝论治慢性肾脏病的用药特点。
The etiology and pathogenesis of chronic kidney disease is perplexing. Its loation is the kidney,involving dysfunction of the other internal organs. The pathological basis is renal micro-Zhengjia caused by various causes,affecting the kidney function. Professor LYU Renhe has his unique clinical experience on treating chronic kidney disease. This article summarizes the experience of professor LYU in the treatment of chronic kidney disease from the liver theory. Its theoretical basis is"liver and kidney homologous". Its main treatment thought is discharging liver and regulating Qi,clearing heat and promoting diuresis and nourishing liver Yin. Also this paper summarizes the characteristics of using the herbs of treating chronic kidney disease by professor LYU.
The etiology and pathogenesis of chronic kidney disease is perplexing. Its loation is the kidney,involving dysfunction of the other internal organs. The pathological basis is renal micro-Zhengjia caused by various causes,affecting the kidney function. Professor LYU Renhe has his unique clinical experience on treating chronic kidney disease. This article summarizes the experience of professor LYU in the treatment of chronic kidney disease from the liver theory. Its theoretical basis is"liver and kidney homologous". Its main treatment thought is discharging liver and regulating Qi,clearing heat and promoting diuresis and nourishing liver Yin. Also this paper summarizes the characteristics of using the herbs of treating chronic kidney disease by professor LYU.
引文
[1]Zhang L,Wang F,Wang L,et al. Prevalence of chronic kidneydisease in China:a cross-se ctional survey[J]. Lancet,2012,379(9818):815-822.
[2]刘婕,冯兴中.吕仁和治疗慢性肾功能衰竭药对挖掘与浅析[J].世界中医药,2017,12(3):606-609.
[3]朱燕飞.枸杞子药理作用概述[J].浙江中西医结合杂志,2005,15(5):322-323.
[4]张明发,沈雅琴.齐墩果酸和熊果酸的抗炎及其抗变态反应[J].抗感染药学,2011,8(4):235-240.
[5]李丽波,王玉祥,杨宏艳.五味子乙素诱导的HSP27和HSP70对Con A诱导小鼠肝损伤的保护作用[J].第三军医大学学报,2013,35(12):1210-1214.
[6]李戈昂.五味子对苯环境中运动大鼠免疫机能影响的研究[D].兰州:西北师范大学,2012.
[7]窦志华,罗琳,候金燕,等.基于含药血清经时谱效关系的茵陈蒿汤保肝作用药效物质研究[J].中国医院药学杂志,2017,37(13):1-4,6-7.
[8]曹锦花.茵陈的化学成分和药理作用研究进展[J].沈阳药科大学学报,2013,30(6):489-494.
[9]Lee HI,Seo KO,Yun KW,et al. Comparative study of the hepatoprotective efficacy of Artemisia iwayomogi? and Artemisia capillaris on ethanol-administered mice[J]. J Food Sci,2011,76(9):T207-211.
[10]郭姗姗,黄洋,赵晔,等.栀子提取物ZG对副流感病毒1型感染后宿主细胞膜的影响[J].病毒学报,2007,23(5):384-388.
[2]刘婕,冯兴中.吕仁和治疗慢性肾功能衰竭药对挖掘与浅析[J].世界中医药,2017,12(3):606-609.
[3]朱燕飞.枸杞子药理作用概述[J].浙江中西医结合杂志,2005,15(5):322-323.
[4]张明发,沈雅琴.齐墩果酸和熊果酸的抗炎及其抗变态反应[J].抗感染药学,2011,8(4):235-240.
[5]李丽波,王玉祥,杨宏艳.五味子乙素诱导的HSP27和HSP70对Con A诱导小鼠肝损伤的保护作用[J].第三军医大学学报,2013,35(12):1210-1214.
[6]李戈昂.五味子对苯环境中运动大鼠免疫机能影响的研究[D].兰州:西北师范大学,2012.
[7]窦志华,罗琳,候金燕,等.基于含药血清经时谱效关系的茵陈蒿汤保肝作用药效物质研究[J].中国医院药学杂志,2017,37(13):1-4,6-7.
[8]曹锦花.茵陈的化学成分和药理作用研究进展[J].沈阳药科大学学报,2013,30(6):489-494.
[9]Lee HI,Seo KO,Yun KW,et al. Comparative study of the hepatoprotective efficacy of Artemisia iwayomogi? and Artemisia capillaris on ethanol-administered mice[J]. J Food Sci,2011,76(9):T207-211.
[10]郭姗姗,黄洋,赵晔,等.栀子提取物ZG对副流感病毒1型感染后宿主细胞膜的影响[J].病毒学报,2007,23(5):384-388.