吕志平运用“和法”治疗慢性肾脏病的经验  

Experience of Lyu Zhiping in the Treatment of Chronic Kidney Disease with Harmonizing Therapy

作　　者：朱琳[1,2] 周静威 林灶强[2] 冯流畅 黄莎 谭秦湘 ZHU Lin;ZHOU Jingwei;LIN Zaoqiang;FENG Liuchang;HUANG Sha;TAN Qinxiang(Dongzhimen Hospital,Beijing University of Chinese medicine,Beijing 100700,China;Shenzhen Hospital(Longgang),Beijing University of Chinese Medicine,Shenzhen 518116 Guangdong,China;School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515 Guangdong,China)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学深圳医院(龙岗),广东深圳518116 [3]南方医科大学中医药学院,广东广州510515

出　　处：《广州中医药大学学报》2025年第3期746-751,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：国家中医药管理局吕志平全国名中医传承工作室建设项目(编号:G724290125)。

摘　　要：慢性肾脏病是我国临床常见的复杂难治性疾病之一,最终可发展至终末期肾病,严重危害人类健康。中医药在治疗慢性肾脏病方面具有独特的优势。吕志平教授认为,“不和”是慢性肾脏病的核心病机,其以肾之阴阳不和为本;肾与他脏、肾与外邪及病理产物之不和,导致疾病发生发展过程中出现阴阳、表里、虚实等证候交叉兼见的复杂状况。临证用药以“和法”为主导,通过和解少阳、调和脾胃、和络化瘀等治疗该病,以达到保护肾功能、延缓慢性肾脏病进展的目的。吕志平教授根据多年临证经验,创立参芪肾康方,以补肾为本,调和肺脾,清热祛湿化浊,标本兼顾,治疗慢性肾脏病取得显效。Chronic kidney disease(CKD)will eventually progress to end-stage kidney disease and has become one of the common obstinate diseases in China,which becomes a serious threat to human life.Traditional Chinese medicine(TCM)shows unique advantages in treating CKD.In the view of Professor Lyu Zhiping,disharmony,in particular the disharmony of yin and yang of kidney,contributes to the core pathogenesis of CKD.Disharmony between kidney and other organs,and disharmony between kidney and exogenous pathogens together with pathological products lead to the complication of yin and yang,superficial and interior,deficiency and excess syndromes in the progression of the disease.Professor Lyu recommended that the clinical medication for CKD should be based on harmonizing therapy by harmonizing shaoyang meridian,harmonizing the spleen and stomach,and harmonizing collaterals and resolving blood stasis,thus to protect kidney function and slow down the progression of CKD.Based on years of clinical experience,professor Lyu formulated the Shen Qi Shenkang Prescription,which aims at primarily tonifying the kidney,and assisting by harmonizing the lung and spleen,clearing heat,removing dampness and eliminating turbid,thus to treat symptoms and root cause simultaneously,and then stronger clinical efficacy for CKD can be achieved.

关 键 词：慢性肾脏病 和法 和解少阳 调和脾胃 和络化瘀 参芪肾康方 吕志平 

分 类 号：R249.5[医药卫生—中医临床基础]