何立群教授治疗慢性肾脏病韬略  

Strategies for treating chronic kidney diseases by professor HE Li-qun

作　　者：陈晛[1] 李祥炜 张昕贤[1] 何立群[1] 

机构地区：[1]上海中医药大学附属曙光医院肾病科,上海市中医药临床重点实验室,上海200021 [2]Manhattan Acupuncture,PC.,NY 11791,USA

出　　处：《中华中医药杂志》2015年第3期758-760,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然基金面上项目(No.81173219);国家临床重点专科,国家中医药管理局重点专科,国家中医药管理局重点学科,上海市中医药事业发展三年行动计划项目(No.ZYSNXD-CC-YJXYY);上海市卫生局中药新药及院内制剂研发项目(No.2011ZJ011)~~

摘　　要：慢性肾脏病是临床的常见病、疑难病,患病率高,致残率高,医疗费用高,若不及时控制,必将发展为终末期肾病,故运用中药早期干预非常重要。何立群教授认为慢性肾脏病的病因病机复杂,医者应重视脾肾在其发病中的核心地位及湿热二邪对脾肾的损伤作用,并应根据黄帝内经的组方理论,采用大方治疗。因此临证常融调阴阳、调气血、清热燥湿、祛风通络、通腑泻浊等诸法于一体,运用20味左右的大方治疗慢性肾脏病,获得显著的疗效,其治疗经验值得借鉴。Chronic kidney disease （CKD） is a common frequently-occurring and difficult clinical disease with high prevalence rate, high disability rate and high medical cost, it will be bound to progress to end-stage renal disease if we do not controll it in time. So the early intervention of the traditional Chinese medicine to CKD is very important. Professor He Liqun thinks that the etiology and pathogenesis of CKD are complicated, doctors should pay attention to the core position of spleen and kidney in the pathogenesis of CKD and the damage of damp and heat to the spleen and kidney. He also thinks that doctors should treat CKD with large prescription according to the theory of prescription in Inner Canon of Huangdi. So he often melts several methods of regulating yin and yang, regulating qi and blood, clearing heat and eliminating dampness, dispelling wind and removing obstruction in meridians, fu-dredging and turbidity-purgating in one and treats CKD with large prescriptions which containing about twenty herbs to obtain significant curative effect. It is worthy of learning from his experience in the treatment.

关 键 词：大方 慢性肾病 病机 名医经验 

分 类 号：R249[医药卫生—中医临床基础] R277.5[医药卫生—中医学]