试论“中气不足,溲便为之变”与慢性肾脏病治疗  

CKD Treatment According to Qi Deficiency in Middle-Jiao Leading to Urine and Defecation Change

作　　者：毕礼明[1,2] 陈英兰 

机构地区：[1]无锡市中医医院肾病科,江苏无锡214071 [2]上海中医药大学附属普陀医院,上海200062 [3]江苏省无锡市中西医结合医院肾病科,江苏无锡214071

出　　处：《辽宁中医杂志》2016年第5期936-938,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：江苏省无锡市卫生局面上项目(MD201208);江苏省科技基础设施建设计划孟河医派方药传承开发研究中心资助项目(BM2008152)

摘　　要：慢性肾脏病的定义为肾损害(病理,血,尿,影像学异常)≥3个月。或者肾小球滤过率<60 m L/min/1.73m^2,持续时间≥3个月。其临床可表现为蛋白尿、血尿、肾功能不全,多为久病,且常常合并消化系统症状,中医可辨证为中气不足,本文根据《黄帝内经》中的言论讨论"中气不足,溲便为之变"如何指导慢性肾脏病治疗。Chronic kidney disease（ CKD） is defined as the presence of objective kidney damage and/or the presence of a glomerular filtration rate at 60 m L/min/1. 73 m^2 body surface area or less,for at least 3 months. And proteinuria and hematuria or renal insufficiency are the main clinical features of CKD,which is often along with digestive symptoms. All clinical manifestations are accordance to Qi deficiency in middle- Jiao from TCM. So this paper tries to discuss the CKD treatment according to Qi deficiency in middle- Jiao leading to urine and defecation change in Huangdi Neijing.

关 键 词：中气不足 慢性肾脏病 治疗 

分 类 号：R256.5[医药卫生—中医内科学]