李伟从虚毒瘀论治慢性肾衰竭经验及常用药对

周乐; 李伟

doi:10.13192/j.issn.1000-1719.2018.07.006

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李伟从虚毒瘀论治慢性肾衰竭经验及常用药对

中国中医药临床案例成果库 | 经验撷菁

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李伟从虚毒瘀论治慢性肾衰竭经验及常用药对
Experience of Li Wei Treating Chronic Renal Failure and Application of Herbal Pairs
1.山东中医药大学附属医院肾病科，山东　山东济南　250011
DOI：10.13192/j.issn.1000-1719.2018.07.006

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周乐, 李伟. 李伟从虚毒瘀论治慢性肾衰竭经验及常用药对[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2018.07.006

ZHOU Le, LI Wei. Experience of Li Wei Treating Chronic Renal Failure and Application of Herbal Pairs[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2018.07.006
周乐, 李伟. 李伟从虚毒瘀论治慢性肾衰竭经验及常用药对[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2018.07.006 DOI：

ZHOU Le, LI Wei. Experience of Li Wei Treating Chronic Renal Failure and Application of Herbal Pairs[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2018.07.006 DOI：

摘要

慢性肾衰竭为临床常见疾病，治疗上颇为棘手，中医药治疗慢性肾衰竭有一定的优势。李伟教授从事肾脏疾病临床和基础研究近30年，认为慢性肾衰竭乃本虚标实，以脾肾亏虚为本，随着病情进展，水湿、浊毒、瘀血等多种病邪产物丛生，形成慢性肾衰竭“虚、毒、瘀”的基本病机。治疗上以益肾活血清泄为大法，采用保肾健脾以固本求源、泄浊解毒以疏导三焦、化瘀通络以通为要及复感外邪当祛邪等治疗方法，辨证施治，并常使用药对，处方精妙，临床常获良效。

Abstract

Traditional Chinese medicine has some advantages in treatment of chronic renal failure (CRF). Professor LI Wei considers that CRF is based on spleen-kidney deficiency and with the progression of disease, damp, turbid, blood stasis and other pathological substance gradually appear, and then form the basic pathogenesis of "deficiency, toxin and blood stasis". The treatment principles of CRF are invigorating kidney, promoting circulation and relieving turbidity, such as invigorating kidney and strengthening spleen, relieving turbidity and detoxicating, resolving blood stasis and dredging collaterals and driving out external evils. Professor LI often uses herbal pairs which often get good clinical effect.

关键词

慢性肾衰竭虚毒瘀经验介绍药对

Keywords

chronic renal failuredeficiency toxin and blood stasistreatment experienceherbal pairs

references

孙伟毅, 潘丽歆. 张琪教授诊治慢性肾衰竭学术思想初探[J]. 中医药学报, 2011, 39(2): 71-72.

于敏, 史耀勋, 田谧, 等. 南征教授从毒损肾络立论治疗糖尿病肾病经验[J]. 中国中医急症, 2009, 18(1): 74-75.

田长祥, 田硕. 败酱草临床应用举隅[C]//全国中药研究学术讨论会论文集, 2003.

麻丽娜, 孙新宇. “毒损肾络”与糖尿病肾病炎症机制的相关性[J]. 中医学报, 2015, 30(4): 487-489.

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