高彦彬教授从络病论治慢性肾衰经验  

Professor GAO Yanbin′s Experience in Treating Chronic Renal Failure from Collateral Diseases

作　　者：刘甜甜 高彦彬[1,2,3] 王莺洁 邢俊艳 崔家霖 朱智耀 邹大威[1,2,3] LIU Tiantian;GAO Yanbin;WANG Yingjie;XING Junyan;CUI Jialin;ZHU Zhiyao;ZOU Dawei(College of Traditional Chinese Medicine,Capital Medical University,Beijing 100069,China;GAO Yanbin National Veteran Traditional Chinese Medicine Expert Inheritance Studio,Beijing 100069,China;Beijing Key Laboratory of TCM Collateral Diseases Theory Research,Beijing 100069,China)

机构地区：[1]首都医科大学中医药学院,北京100069 [2]高彦彬全国名老中医药专家传承工作室,北京100069 [3]中医络病研究北京重点实验室,北京100069

出　　处：《世界中医药》2024年第16期2484-2488,共5页World Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)项目(2018YFC1704102)——《基于“道术结合”思路与多元融合方法的名老中医经验传承创新研究》子课题《东部地区名老中医学术观点、特色诊疗方法和重大疾病防治经验研究》。

摘　　要：慢性肾衰是各类进展性肾脏疾病的最终结局,病机错综复杂,中医对其治疗具有较好疗效。高彦彬教授学术思想师承国医大师吕仁和教授,临证四十载,认为此病属于“络病”范畴,并针对慢性肾衰提出肾元虚衰、肾络瘀结、浊毒内停的基本病机和益气固肾、解毒通络的基本治法。临床上以虚定型,以实定候进行辨证论治,并基于治未病理论,提出慢性肾病三级预防策略。Chronic renal failure is the ultimate outcome of various progressive kidney diseases,characterized by complex pathogenesis.Traditional Chinese medicine(TCM)has shown significant efficacy in its treatment.Professor GAO Yanbin,whose academic philosophy follows the teachings of Master Physician Lv Renhe,has over 40 years of clinical experience.He believes that this condition falls within the category of collateral diseases.For chronic renal failure,he proposes the fundamental pathogenesis of kidney essence deficiency,stagnation of kidney collaterals,and internal retention of turbid toxins,as well as basic therapeutic approaches involving tonifying qi and consolidating the kidneys,removing toxins,and dredging the collaterals.In clinical practice,syndrome differentiation and treatment are based on defining the condition as primarily deficient with secondary excess manifestations.Additionally,adhering to the theory of preventive treatment,Professor GAO has proposed a three-level prevention strategy for chronic kidney disease.

关 键 词：慢性肾衰 络病 中医药 辨证论治 病因病机 名老中医 名医经验 @高彦彬 

分 类 号：R256.5[医药卫生—中医内科学]