李培旭运用对药治疗慢性肾功能衰竭经验
LI Peixu's Experience on Treating Chronic Renal Failure with Drug Paris
DOI:10.13192/j.issn.1000-1719.2022.05.006
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1.河南省中医药研究院,河南 郑州 450004
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马笑凡, 潘玉颖, 崔伟锋, 等. 李培旭运用对药治疗慢性肾功能衰竭经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.05.006
MA Xiaofan, PAN Yuying, CUI Weifeng, et al. LI Peixu's Experience on Treating Chronic Renal Failure with Drug Paris[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.05.006
马笑凡, 潘玉颖, 崔伟锋, 等. 李培旭运用对药治疗慢性肾功能衰竭经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.05.006 DOI:
MA Xiaofan, PAN Yuying, CUI Weifeng, et al. LI Peixu's Experience on Treating Chronic Renal Failure with Drug Paris[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2022.05.006 DOI:
名老中医李培旭教授是“国家第五批名老中医”“第一批全国优秀中医临床人才”“全国老中医药专家学术经验继承导师”,从医40余年来,擅长运用中医药治疗慢性肾功能衰竭,依据肾为水脏,司膀胱开阖,主五液;肾藏精,为先天之本,五脏之根,以益气升阳,化痰降浊,祛瘀通络为组方原则,在遣方用药时,注重药物性味归经,升降浮沉,辨清病位之所在,依脏腑经络之特点用药,尤喜用对药,选用药对主归肾经利水通络;据肾主纳气,擅扶正固本,恢复气机升降,通利六腑,祛除湿浊诸邪;据久病入络,肾络弯曲细窄结构特点,善用藤类药物,效如桴鼓。文章总结了李教授常用10组对药,忍冬藤、络石藤,地肤子、苦参,女贞子、旱莲草,天麻、葛根,白术、苍术,黄芪、人参,防风、蝉蜕,大黄、黄连,藿香、竹茹,当归、川芎等药及其临床运用经验,以期对临床同道有着抛砖引玉作用。
Professor LI Peixu, a famous traditional Chinese medicine professor, is "the fifth batch of famous traditional Chinese medicine", "the first batch of national excell 忍冬藤 ent clinical talents of traditional Chinese medicine" and "the tutor of inheriting the academic experience of national experts of traditional Chinese medicine". Since he has been a doctor for more than 40 years, he is good at using traditional Chinese medicine to treat chronic renal failure. According to the fact that the kidney is the organ related to water metabolism and controls the opening and closing of the bladder and the main five fluids. The kidney stores the essence, which is the innate foundation and the root of the five internal organs. It takes supplementing Qi and ascending Yang, resolving phlegm and reducing turbidity, removing blood stasis and dredging collaterals as the principle of prescriptions. When making the prescriptions, Professor LI pays attention to the drug taste, meridian tropism, rising and falling, identifying the location of the disease and using drugs according to the characteristics of the internal organs and meridians. Professor LI is especially fond of using drugs and selecting drugs which are mainly returning to the kidney meridians to promote water and dredging collaterals. According to the principle that the kidney governs Qi, it is good at strengthening and consolidating the foundation, restoring the rise and fall of Qi movement, benefiting the six Fu-organs and removing dampness and turbidity. According to the structural characteristics of long-term illness entering the collaterals, the renal collaterals are curved and narrow, and the rattan drugs are used well, and the effect very obvious. This paper summarizes 10 pairs of drugs commonly used by Professor LI, such as Rendongteng (Caulis Lonicerae Japonicae) and Luoshiteng (Caulis Trachelospermi), Difuzi (Fructus Kochiae) and Kushen (Radix Sophorae Flavescentis), Nyuzhenzi (Fructus Ligustri Lucidi)and Hanliancao (Eclipta chinensis), Tianma (Rhizoma Gastrodiae) and Gegen (Radix Puerariae Lobatae), Baizhu (Rhizoma Atractylodis Macrocephalae) and Cangzhu (Rhizoma Atractylodis), Huangqi (Radix Astragali) and Renshen (Radix Et Rhizoma Ginseng), Fangfeng (Radix Saposhnikoviae)and Chantui (Periostracum Cicadae), Dahuang (Radix Et Rhizoma Rhei) and Huanglian (Rhizoma Coptidis), Huoxiang (Herba Pogostemonis) and Zhuru (Caulis Bambusaein Taenia), Danggui (Radix Angelicae Sinensis) and Chuanxiong (Rhizoma Chuanxiong) and the clinical experience of application in order to provide some ideas for clinical colleagues.
对药慢性肾功能衰竭临床经验李培旭名老中医
drug pairchronic renal failureclinical experienceLI Peixufamous old doctors of traditional Chinese medicine
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