摘要
湿热是慢性肾脏病的常见病因,湿热证是慢性肾脏病的主要证候之一,也是导致肾功能损害进展的关键因素,因而诊治“湿热证”对于延缓慢性肾脏病进展具有重要意义。王亿平教授长期从事中医药防治肾脏疾病临床及科研工作,根据慢性肾脏病湿热的证候特点,总结出宣肺利湿热、健脾化湿热、淡渗利湿热、利尿清湿热之“宣、化、渗、利”四法治疗慢性肾脏病湿热证,取得满意疗效。同时强调临证时需注意湿热有偏盛,病位侧重亦有所不同,当具体分析,合理配伍。该文从病因病机、治疗组方用药等方面,分析了王亿平教授诊治慢性肾脏病湿热证的经验。
Damp heat is a common cause of chronic kidney disease,and dampness heat syndrome is one of the main symptoms of chronic kidney disease.It is also a key factor leading to the progression of renal function damage.Therefore,the diagnosis and treatment of“dampness heat syndrome”is of great significance for delaying the progression of chronic kidney disease.Professor Wang Yiping has been engaged in clinical and scientific research on the prevention and treatment of kidney diseases using traditional Chinese medicine for a long time.Based on the characteristics of dampness and heat syndrome in chronic kidney disease,he has summarized four methods for treating dampness and heat syndrome in chronic kidney disease:promoting lung circulation,strengthening spleen to dissipate dampness and heat,reducing dampness and heat,and diuresis to clear dampness and heat.These methods have achieved satisfactory therapeutic effects.At the same time,it is emphasized that in clinical practice,it is necessary to pay attention to the excessive dampness and heat,and the emphasis on disease location is also different.When analyzing specifically,a reasonable combination should be made.This article analyzes Professor Wang Yiping’s experience in the diagnosis and treatment of dampness heat syndrome in chronic kidney disease from the perspectives of etiology,pathogenesis,treatment prescriptions,and medication.
作者
彭楚怡
桑田
王亿平
曹泽平
葛永
刘传娇
PENG Chuyi;SANG Tian;WANG Yiping;CAO Zeping;GE Yong;LIU Chuanjiao(The First Clinical Medical College of Anhui University of Traditional Chinese Medicine,Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Chinese Medicine,Anhui Hefei 230031,China)
出处
《中医药临床杂志》
2024年第4期679-682,共4页
Clinical Journal of Traditional Chinese Medicine
基金
2021年重大疑难疾病中西医协同攻关项目(皖中医药发展秘[2021]70号)
安徽中医药领军人才项目(中医药发展秘[2018]23号)
2021省级医疗卫生重点专科建设项目(皖卫函[2021]273号)。
关键词
湿热证
慢性肾脏病
宣、化、渗、利
Dampness-heat syndrome
Chronic kidney disease
Expelling lung
Dehumidification
wetting
diuresis
作者简介
通讯作者:王亿平(1963-)男,主任医师,教授,博士生导师。研究方向:中西医结合防治肾脏疾病。E-mail:wypwyp54@aliyun.com;彭楚怡(1996-),女,在读硕士研究生。研究方向:中医药防治肾脏病。E-mail:pengchuyi_0825@163.com。
