从“温阳法”论治慢性肾功能衰竭高钾血症  

Discussion on the treatment of hyperkalemia in chronic renal failure from‘warming yang method’

作　　者：周国民 李建民 ZHOU Guo-min;LI Jian-min(Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100039,China)

机构地区：[1]北京市中西医结合医院,北京100039 [2]北京市中西医结合医院肾内科,北京100039

出　　处：《中华中医药杂志》2020年第6期2939-2942,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：北京市海淀区科技项目(No.K20110065)。

摘　　要：通过梳理历代医家对"温阳法"的认识,对北京市中西医结合医院肾内科慢性肾功能衰竭高钾血症患者进行临床观察,探究并分析慢性肾功能衰竭高钾血症的病因、病机,得出"阳虚"是贯穿于慢性肾功能衰竭高钾血症终始的主要因素。文章在中医学和现代医学的指导下,从总结李建民教授"温阳法"治疗慢性肾功能衰竭高钾血症经验入手,提出"通阳法、助阳法、补阳法",并结合临床具体病例分析为中医药治疗慢性肾功能衰竭高血钾症提供参考和依据。Through combing the understanding of‘warming yang method’by doctors of all ages,the author makes clinical observation on the patients with hyperkalemia of chronic renal failure in our department,explores and analyzes the etiology and pathogenesis of hyperkalemia of chronic renal failure,and concludes that‘yang deficiency’is the main factor throughout the hyperkalemia of chronic renal failure.Under the guidance of traditional Chinese medicine and modern medicine,this paper starts with the summary of Professor LI Jian-min’s experience in the treatment of hyperkalemia in chronic renal failure by‘warming yang method’,puts forward the methods of‘activating yang,assisting yang and nourishing yang’,and provides reference and basis for the treatment of hyperkalemia in chronic renal failure by combining with the analysis of specific clinical cases.

关 键 词：温阳法 慢性肾功能衰竭高钾血症 病因病机 治疗经验 

分 类 号：R277.5[医药卫生—中医学]