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国医大师张大宁从“肾虚血瘀”论治肾性贫血经验
刘亚燊1,2, 韩阳1,2, 苗鹏伟1,2, 潘健1,2, 生晓迪1,2, 孙岚云1,2, 张勉之1,2
1.天津市中医药研究院附属医院, 天津 300120;2.天津市中医肾病研究所, 天津 300120
摘要:
肾性贫血是慢性肾脏病患者疾病发展过程中最常见的并发症之一,贫血的程度影响慢性肾脏病的病程及预后。肾性贫血属于中医的“虚劳”“肾劳”“血虚”等范畴。张大宁教授以“肾虚血瘀”立论,认为肾性贫血的病机以肾虚血瘀为主,兼夹湿浊、湿毒,治疗上以补肾活血法为根本方法,强调补肾健脾为要,活血化瘀贯穿始终,同时重视中焦运化,达到邪去正安,改善贫血状态的目的。
关键词:  肾性贫血  肾虚血瘀  辨证论治  名医经验  张大宁
DOI:10.11656/j.issn.1672-1519.2025.02.01
分类号:R556
基金项目:中医药事业传承与发展:国医大师张大宁传承工作室;天津市卫生健康委员会中医药重点领域科研项目(A0102)。
Experience of treating renal anemia based on the theory of “kidney deficiency and blood stasis” by Chinese medicine master ZHANG Daning
LIU Yashen1,2, HAN Yang1,2, MIAO Pengwei1,2, PAN Jian1,2, SHENG Xiaodi1,2, SUN Lanyun1,2, ZHANG Mianzhi1,2
1.Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin 300120, China;2.Tianjin Institute of Traditional Chinese Medicine Nephropathy, Tianjin 300120, China
Abstract:
Renal anemia is one of the most common complications in the course of disease development in patients with chronic kidney disease,and the degree of anemia affects the course and prognosis of chronic kidney disease. Renal anemia belongs to the categories of “consumptive disease”“kidney exhaustion” and “blood deficiency” in traditional Chinese medicine. Professor ZHANG Daning argues that the pathogenesis of renal anemia is mainly due to kidney deficiency and blood stasis,combined with dampness,turbidity,and dampness toxins. The fundamental treatment method is to tonify the kidney and circulate blood,emphasizing the importance of tonifying the kidney and spleen,circulating blood and transforming stasis throughout the process,and emphasizing the transportation and transformation of the middle jiao to achieve the goal of eliminating evil and improving the state of anemia.
Key words:  renal anemia  kidney deficiency and blood stasis  treatment based on pattern identification  experience of famous doctor  ZHANG Daning
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