黄文政教授治疗慢性肾脏病患者焦虑抑郁心理状态的临床经验

Clinical experience of Professor HUANG Wen-zheng in the treatment of anxiety and depression in patients with chronic kidney disease

关键词:  慢性肾脏病  焦虑  肾阳虚  痰浊

Key words:  chronic kidney disease  anxious  kidney yang deficiency  phlegm turbidity

摘要:

慢性肾脏病（CKD）缠绵难愈，长期治疗给患者的家庭造成沉重的经济负担，而躯体不适也会导致精神困扰，这些因素作为心理应激源，长时间作用于人体后，出现各种心理-躯体症状。黄文政教授认为“肾阳虚”是其发病之本，在疾病演变过程中，起重要作用。痰蒙、火扰、气郁及血瘀为标。黄教授治疗CKD相关焦虑抑郁，以温补肾阳，疏肝理气以治本，化瘀通络，豁痰开窍以治标，并且在治疗中强调豁痰、泻火、除烦、开窍、解郁、活血的效果。

Abstract:

Chronic kidney disease (CKD) is refractory and lingering. The long-term treatment caused a heavy economic burden to the families of patients, and physical discomfort can lead to mental distress. These factors as a source of psychological stress, long time effect on the human body, the emergence of various psychological and physical symptoms. Professor HUANG Wen-zheng believes that kidney yang deficiency is the basis of its pathogenesis and plays an important role in the course of disease evolution. It is marked by phlegm, fire, qi depression and blood stasis. Professor HUANG relats anxiety and depression in the treatment of CKD to warm reinforcing kidney yang, soothing liver and regulating qi as treating primary. To disperse blood stasis and dredge collateral, expel phlegm and open orrifice is as the secondary. And he also emphasizes the curative effect of expelling phlegm, reducing fire, reducing restlessness, open orifice, relieving qi depression and activating blood circulation.