慢性肾脏病铁代谢紊乱的辨治思路  

Syndrome Differentiation and Treatment Experience of Disorder of Iron Metabolism in Chronic Kidney Disease

作　　者：李秀典[1] 沈萍[2] 沈晓璞[1] 李维民[2] LI Xiudian;SHEN Ping;SHEN Xiaopu;LI Weimin(Department of Nephrology,Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150001,China;Jiamusi Chinese Medicine Hospital,Jiamusi 154000,China)

机构地区：[1]黑龙江中医药大学附属二院肾病科,哈尔滨150001 [2]佳木斯市中医院,佳木斯154000

出　　处：《世界中医药》2021年第5期811-814,共4页World Chinese Medicine

基　　金：黑龙江省中医药科研项目(ZHY16-024);国家中医药管理局2014年全国名老中医传承工作室建设项目。

摘　　要：通过分析慢性肾脏病铁代谢紊乱的特点和李维民教授的临床典型病例,总结归纳慢性肾疾病(CKD)铁代谢紊乱的主要病机为脾肾精亏、肝失疏泄、湿热内蕴以及瘀血阻络。依此辨证论治,为中医药治疗铁代谢紊乱疾病和肾性贫血提供新的有效手段。By analyzing the characteristics of iron metabolism in chronic kidney disease(CKD)and typical clinical cases of Professor LI Weimin,it is concluded that the main pathogenesis of CKD iron metabolism disorders are spleen and kidney essence deficiency,liver dysfunction,internal accumulation of damp-heat,and blood stasis blocking the collaterals.According to this syndrome differentiation and treatment,traditional Chinese medicine can provide the new effective methods for the treatment of iron metabolism disorders and renal anemia.

关 键 词：铁代谢紊乱 肾性贫血 功能性缺铁 慢性肾脏病 @李维民 

分 类 号：R249[医药卫生—中医临床基础]