补养胃气胃阴法治疗急性腹泻导致急性肾损伤1例  

Nourishing Stomach Qi and Stomach Yin Method in the Treatment of Acute Kidney Injury Caused by Acute Diarrhea for One Case

作　　者：孙春晓 王友娟 SUN Chunxiao;WANG Youjuan(Department of Nephrology,Linyi Jinluo Hospital,Shandong Province,Linyi 276000,China;Department of Cardiology,Linyi Hospital of Traditional Chinese Medicine,ShandongProvince,Linyi 276000,China)

机构地区：[1]临沂金锣医院肾内科,山东临沂276000 [2]临沂市中医医院心内科,山东临沂276000

出　　处：《中国中医药现代远程教育》2023年第13期129-130,167,共3页Chinese Medicine Modern Distance Education of China

摘　　要：急性腹泻会导致体液大量从胃肠道丢失,引起血容量不足,导致肾前性灌注不足,从而诱发急性肾损伤,出现恶心、呕吐、纳差的临床表现。中医认为腹泻导致急性肾损伤的基本病机为胃气胃阴亏虚,及时应用补养胃气胃阴法可显著改善病情。并且在治疗过程中,处理外感发热这一并发症时,在解表散邪的同时,始终注意顾护气阴,取得满意效果。Acute diarrhea will cause a large amount of body fluid to be lost from the gastrointestinal tract,resulting in insufficient blood volume,leading to insufficient pre renal perfusion,thus inducing acute kidney injury,and presenting clinical manifestations of nausea,vomiting and poor appetite.Traditional Chinese medicine believes that the basic pathogenesis of acute kidney injury caused by diarrhea is deficiency of stomach qi and stomach yin,and timely application of nourishing stomach qi and stomach yin can significantly improve the condition.In addition,in the treatment process,when dealing with the complication of exogenous fever,we should always pay attention to the protection of qi and yin while resolving the external symptoms and dispersing the evil,and achieve satisfactory results.

关 键 词：癃闭 急性腹泻 胃气 胃阴 急性肾损伤 益气解表法 参苏饮 桂枝汤 医案 

分 类 号：R277.5[医药卫生—中医学]