马晓燕教授从“脏腑辨证”治疗慢性肾功能衰竭的经验总结

发布时间：2018-04-24 00:41

本文选题：慢性肾功能衰竭 + 脏腑辩证　；参考：《辽宁中医药大学》2017年硕士论文

【摘要】：目前中医药在治疗慢性肾功能衰竭(CRF)的实验和临床研究都取得了比较理想的成果,临床运用其独到的内治法与外治法,取得了满意的疗效,因此成为现代治疗早中期慢性肾功能衰竭的主要方法。本文对马晓燕教授从“脏腑辨证”治疗CRF的临床经验进行总结剖析。提出慢性肾衰的病机关键是“肾虚毒蕴”,毒邪包括湿毒、痰毒、瘀毒,肾虚是CRF发病基础,是毒邪产生的根源,痰湿瘀毒久蕴肾络是肾功能渐行恶化的重要病理因素,证属本虚标实。其治疗以“脏腑辨证”为理论依据,强调整体观念,拟健脾益肾治其本,兼顾它脏,或平肝、养肝、疏肝,或宣肺利水、疏风解表,或交通心肾、温补心肾,同时祛湿涤痰化瘀以解毒,泻浊通腑以排毒,标本兼顾。对于CRF早、中期治疗效果显著,有效地保存了残余肾功能,达到延缓肾功能衰竭进一步恶化的目的,为本病的临床治疗提供了宝贵的经验和辨治思路,具有重要的理论意义和实践价值。
[Abstract]:At present, the experiment and clinical research of Chinese medicine in the treatment of chronic renal failure (CRF) have achieved more ideal results. The clinical application of its unique internal and external treatment methods has achieved satisfactory results. Therefore, modern treatment of chronic renal failure in early and middle stage is the main method. Professor Ma Xiaoyan's clinical experience in treating CRF from zang-fu syndrome differentiation is summarized and analyzed in this paper. The key to the pathogenesis of chronic renal failure is "kidney deficiency and toxin accumulation", which include dampness toxin, phlegm toxin, blood stasis toxin, kidney deficiency is the basis of CRF, is the root of toxin evil, and phlegm dampness and stasis toxin accumulation of kidney collaterals is an important pathological factor for the progressive deterioration of renal function. The evidence belongs to the original empty standard solid. Its treatment is based on the theory of "syndrome differentiation of zang-fu organs", emphasizes the whole idea, intends to strengthen the spleen and invigorate the kidney to treat its root, and takes into account its viscera, or calming the liver, nourishing the liver, soothing the liver, or dispersing the liver, dispersing the lung and promoting water, or communicating the heart and kidney, warming up the heart and kidney, and warming up the heart and kidney. At the same time, removing dampness, removing phlegm and removing blood stasis to detoxify, purging turbid organs to detoxify. For CRF, the effect of early and medium-term treatment is remarkable, which can effectively preserve residual renal function, delay the further deterioration of renal failure, and provide valuable experience and thinking of differentiation and treatment for the clinical treatment of this disease. It has important theoretical significance and practical value.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R277.5

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