中医治疗慢性肾脏病用药经验及体会
Journal of Practical Traditional Chinese Internal Medicine（2021）
Abstract
慢性肾脏病的发生发展为多脏腑、多病理因素综合作用的结果.肾虚为该病发生发展的根本,肾虚及脾,脾肾两亏,水湿不归正化,湿邪蕴热,久病必瘀,湿瘀热互结,浊毒内生,后期肝气郁结、肝阴不足,气机不畅,可见焦虑抑郁、郁郁寡欢,湿热、瘀滞、浊毒等病理因素错综交加是CKD进展的中心环节,治疗上可从肾、脾、肝三脏腑综合辨证,益肾健脾培其根本,肝肾同调,脾肾同治;针对邪实,治以清利湿热、活血化瘀、泄浊解毒等法以治其标,并总结临证时常用药对,增进疗效.
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