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Professor CHEN Zhiqiang's experience in treating polycystic kidney with the method of “Xiaojian Guben”
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DOI   10.11656/j.issn.1672-1519.2022.04.16
Key Words   CHEN Zhiqiang;polycystic kidney disease;combination of attack and supplement;adjust the qi movement;insect medicine;drug pair;Xuantong Sanjiao;Xiaojian Guben
Author NameAffiliationE-mail
LI Ting Graduate School of Hebei University of Chinese Medicine, Shijiazhuang 050200, China  
YAN Xiaoli Graduate School of Hebei University of Chinese Medicine, Shijiazhuang 050200, China  
ZHAO Zhuo Graduate School of Hebei University of Chinese Medicine, Shijiazhuang 050200, China  
ZHANG Yanan Graduate School of Hebei University of Chinese Medicine, Shijiazhuang 050200, China  
MA Yun Second Department of Nephrology, Hebei Province Hospital of Traditional Chinese Medicine, Shijiazhuang 050017, China  
CHEN Zhiqiang Second Department of Nephrology, Hebei Province Hospital of Traditional Chinese Medicine, Shijiazhuang 050017, China chenzhqiang2011@163.com 
Abstract
    Polycystic kidney is a hereditary renal cyst disease. Professor CHEN Zhiqiang believes that the disease is mostly due to congenital deficiency and physical differences,resulting in dysfunction of kidney,liver and spleen. Qi stagnation,dampness resistance,phlegm coagulation and blood stasis are the causes of the disease,which gradually leads to the accumulation of symptoms and then to cysts. Therefore,the initial pathogenesis is deficiency of spleen and kidney,stagnation of liver qi,combination of phlegm and blood stasis. The disease lasts for a long time,with kidney failure,phlegm and dampness advancing,turbid toxin blocking inside,Sanjiao diffusing,which pathogenesis progress is deficiency of spleen and kidney,blood stasis and turbid toxin blocking inside. Therefore,in the treatment,it is necessary to use the method of "Xiaojian Guben" and takes corresponding treatment measures according to the pathogenesis of the disease in different periods. At the initial stage,both attack and supplement should be applied,that is strengthening body resistance and eliminating evil. Astragalus membranaceus is commonly used to nourish vital qi,tonify kidney and spleen, fritillariae thunbergii bulbus,Sparganium,zedoary turmeric and other drugs to dispel disease and evil. At the same time,it should be mixed with bupleurum,guangmuxiang,black medicine,stir fried Fructus aurantii,stir fried semen Raphani and other drugs to adjust the qi movement. It should be good at using pheretima,hirudo,trionycis carapax,ostreae concha and other insect drugs to dispel stasis,dispel stasis and eliminate disease. It should be added in time,such as red rattan-Patrinia,Panax Notoginseng powder-Agrimonia,and rehmanniae radix-moutan cortex to treat the corresponding concurrent disease. At later stage,the function of removing dampness and turbidity and detoxification can be enhanced through the treatment of upper,middle and lower Sanjiao. At the same time,combined with the treatment characteristics of modern medicine,the integrated treatment of Chinese and Western medicine can alleviate the disease,improve the symptoms and the quality of life of patients.

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