国医大师张大宁从虚、瘀、毒论治慢性肾脏病4期经验  

Experience of traditional Chinese medicine master ZHANG Daning in treating chronic kidney disease stage 4 from deficiency,blood stasis and toxin

作　　者：刘亚燊 孙岚云[1] 韩阳[1] 马丽[1] 何学志[1] 张勉之 LIU Yashen;SUN Lanyun;HAN Yang;MA Li;HE Xuezhi;ZHANG Mianzhi(Department of Nephropathy,Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin 300120,China;Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital,Tianjin 300120,China;Dongfang Hospital Beijing University of Traditional Chinese Medicine,Beijing 100078,China)

机构地区：[1]天津市中医药研究院附属医院肾病科,天津300120 [2]天津市中医药研究院附属医院,天津300120 [3]北京中医药大学东方医院,北京100078

出　　处：《天津中医药》2023年第5期545-548,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：天津市卫生健康委员会中医药重点领域科研项目(A0102)。

摘　　要：国医大师张大宁教授认为,慢性肾脏病发展到4期的基本病机为虚、瘀、毒3个方面,虚证突出表现为肾阳亏虚,瘀侧重于癥瘕瘀结,毒则多为湿毒内蕴、浊毒上逆。虚为病机根本,瘀、毒既是病理产物,亦是致病因素。该病为本虚标实之证,总体治疗原则为“补肾、活血、排毒”,补肾活血以治本、逐瘀排毒以治标,临证做到扶正不留邪,祛邪不伤正。Professor ZHANG Daning,a master of traditional Chinese medicine,believes that the basic pathogenesis of chronic kidney disease developing into chronic kidney disease stage 4(CDK4)is deficiency,blood stasis and toxin.The deficiency syndrome is mainly manifested as deficiency of kidney yang,blood stasis focuses on the syndrome of mass and blood stasis,and the toxin is mostly the accumulation of dampness and toxin,and the turbid and toxin go up.Deficiency is the root of pathogenesis.Blood stasis and toxin are both pathological products and pathogenic factors.The disease is a syndrome of deficiency and excess.The overall treatment principle is“tonifying the kidney,activating blood circulation,and detoxifying”,tonifying the kidney and activating blood circulation to treat the root cause,removing blood stasis and detoxifying to treat the symptoms,and maintaining the right without leaving the evil and removing the evil without hurting the right.

关 键 词：慢性肾脏病4期 虚 瘀 毒 名医经验 张大宁 

分 类 号：R256[医药卫生—中医内科学]