张炳厚教授运用通法治疗慢性肾脏病经验
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国家中医药传承与创新“百千万”人才工程(岐黄工程)第四批中医优秀人才研修项目(国中医药办人教函[2017]124号)


Professor Zhang Bing-hou's Experience in Treating Chronic Kidney Disease with Obstruction-removing Therapy
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    摘要:

    慢性肾脏病患病率逐年升高,中医治疗有一定优势。“通”是机体的生理常态,“不通”则是机体病理常态,通法是中医的重要治法之一,通法的内涵包括泻通和补通,泻通指方药具有通滞功效,补通指为扶正作用而论。张炳厚教授认为慢性肾脏病病性为虚实夹杂,存在脾肾亏虚,肾络瘀阻的基本病机,主张在补肾的基础上,重视运用通法治疗慢性肾脏病,辨证使用祛风通络、搜风通络、清热化湿、活血通脉等治法。膜性肾病多表现为肾病综合征,高凝状态较为突出,容易形成血栓,治疗应重视活血通脉治法,药物常用桃仁、红花、鬼箭羽、三棱、莪术、水蛭等。乙肝相关性肾脏病湿热较为突出,多表现为脘腹痞满,身困乏力,大便黏滞不爽,泡沫尿,治疗重视清热化湿治法,药物常用生薏米、白蔻仁、藿香、佩兰、白花蛇舌草等。IgA肾病尤易感受外邪反复发作,治疗应该从风论治,药物常用荆芥炭、防风、金银花、连翘等。张炳厚教授擅长使用全蝎、蜈蚣、僵蚕、水蛭等虫类药治疗慢性肾脏病,同时注意结合辨病及分期论治。

    Abstract:

    The prevalence of chronic kidney disease(CKD) is rising every year,and traditional Chinese medicine(TCM) has certain advantages for treating CKD.“Unobstruction” is the physiological state while “obstruction” is the pathological state of human body.Obstruction-removing therapy is an essential method in TCM treatment principles,which includes reduction method(xie-tong) and reinforcement method(bu-tong).The former means that the prescriptions have the effect of dredging stagnation,while the latter refers to the effect of reinforcing healthy qi.Professor Zhang Bing-hou considered the pathological factor of CKD was deficiency-excess in complexity,with the basic pathogenesis of deficiency of spleen and kidney and kidney collateral stasis.He proposed the treatment of CKD should,on the basis of tonifying the kidney,emphasize the use of obstruction-removing therapy and the method of dispersing wind,dredging collaterals,clearing heat,resolving dampness,promoting blood circulation and dredging meridians based on differentiation.Membranous nephropathy is mostly manifested as nephrotic syndrome,especially under hypercoagulable state and easily contributed to thrombosis formation.Its treatment should focus on promoting blood circulation and dredging meridian with commonly used Persicae Semen,Carthami Flos,Ramulus Euonymi,Sparganii Rhizoma,Curcumae Rhizoma,and Hirudo.The prominent pathogenesis of HBV-associated renal disease is dampness-heat,which is manifested as abdominal fullness and distention,fatigue and tiredness,poor stool with incomplete evacuation,and foamy urine.Its treatment should base on clearing heat and resolving dampness,with commonly used raw Coicis Semen,Amomum cardamomum,Pogostemonis Herba,Eupatorii Herba and Hedyotidis Herba.IgA nephropathy is easily being invaded by exogenous pathogen and tends to recur.Its treatment should base on dispelling wind,with commonly used Charred Schizonepeta,Saposhnikoviae Radix,Lonicerae Japonicae Flos and Forsythiae Fructus.Professor Zhang is good at using insect drugs,such as Scorpio,Scolopendra,Bombyx Batryticatus,and Hirudo,in the treatment of CKD.Additionally,he pays attention to the combination of disease differentiation and stages.

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申子龙,赵文景,辛有清.张炳厚教授运用通法治疗慢性肾脏病经验[J].世界中医药,2022,(14).

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  • 收稿日期:2020-10-11
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  • 在线发布日期: 2022-09-01
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