| 摘要: |
| 慢性肾衰竭（CRF）是多种肾脏疾病发展后期引起的肾功能部分甚至全部丧失的一种病理状态，在疾病发生发展过程中呈现出“肾失气化、浊毒内蕴、瘀血阻络”的病机特点。笔者团队基于“温肾化气法治疗肾脏病”的学术观点及近年的临床研究成果，提出了从“温肾化气、泄浊活血”理念论治CRF的辨治思想。文章着眼温肾化气法的理论研究，阐述CRF肾失气化下的发病机制，团队认为“温肾化气”是治疗本病的总治则，“泄浊解毒、活血化瘀”为祛邪关键，以“温肾化气、泄浊活血”方法治疗CRF，可收获良效。举临证验案两则，以期为临床提供具有较高参考价值的诊疗思路。 |
| 关键词: 温肾化气 泄浊活血 慢性肾衰竭 |
| DOI：10.11656/j.issn.1672-1519.2024.07.08 |
| 分类号:R692.5 |
| 基金项目:国家重点研发计划（2018YFC1704102）；国家中医药管理局：王耀光全国名老中医药专家传承工作室（978022）；国家自然科学基金青年项目（81603544）。 |
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| Discussion on the diagnosis and treatment of chronic renal failure based on “warming the kidneys and transforming qi，draining turbidity and activating blood” |
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LI Man1, ZHAO Xi2, ZHOU Wei2, LIU Huan2, WANG Yaoguang2
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1.Department of ICU, Tianjin Beichen District Hospital of Traditional Chinese Medicine, Tianjin 300499, China;2.Department of Nephropathy, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
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| Abstract: |
| Chronic renal failure(CRF) is a pathological state caused by partial or even total loss of renal function in the late stage of the development of various renal diseases，and it presents the pathological characteristics of “loss of qi in the kidneys，turbidity and toxicity within the kidneys，and blood stasis and blood circulation obstruction” in the process of disease occurrence and development. Based on the academic viewpoint of “warming the kidney and transforming qi to treat kidney disease” and the clinical research results in recent years，the author’s team proposes the treatment of chronic renal failure from the concept of “warming the kidney and transforming qi，draining turbid and activating blood”. The article focuses on the theoretical study of the method of warming the kidneys and transforming qi，elaborates on the pathogenesis of chronic renal failure under the loss of qi and transformation of the kidneys，and argues that the method of warming the kidneys and transforming qi is the general rule of treating this disease，and that “draining the turbid and detoxifying the toxin and promoting blood circulation and removing blood stasis” is the key to dispelling the evils. The treatment of chronic renal failure by “warming the kidneys and transforming qi，draining turbidity and activating blood stasis” can yield good results. Two experimental cases are cited in order to provide clinical diagnosis and treatment ideas with high reference value. |
| Key words: warming the kidney and transforming qi draining turbidity and activating blood chronic renal failure |
