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| Treatment of malnutrition after peritoneal dialysis based on the theory of “deficient-qi induced stagnation” |
| Hits 496 Download times 363 Received:May 10, 2023 |
| View Full Text View/Add Comment Download reader |
| DOI
10.11656/j.issn.1672-1519.2023.07.07 |
| Key Words
deficient-qi induced stagnation;end stage renal disease;chronic kidney faliure;peritoneal dialysis;malnutrition |
| Author Name | Affiliation | E-mail | | GUO Luxuan | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | LIU Yang | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | HAO Na | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | JI Yue | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | | | YANG Hongtao | First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China | tjpdyht@163.com。 |
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| Abstract
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| To discuss the characteristics of the pathogenesis and treatment of malnutrition after peritoneal dialysis based on the theory of “deficient-qi induced stagnation”. Malnutrition is one of the most common complications of peritoneal dialysis. Actively improving malnutrition is of great significance to improve the quality of life of patients，prolong the life span，and reduce complications. Traditional Chinese medicine（TCM） believes that the main pathogenesis of malnutrition after peritoneal dialysis is the deficiency of vital qi of viscera，the internal regulation of wind，the blockage of phlegm dampness，the blockage of blood stasis，and the internal accumulation of turbidity and toxin. The key pathogenesis features are “deficiency，wind，dampness，phlegm，blood stasis，and turbidity and toxin”. The theory of “deficient-qi induced stagnation” is greatly generalized to malnutrition after peritoneal dialysis. The deficiency of “heart，liver，spleen，lung and kidney” is the basis of the disease，and the “stagnation” of wind-evil，phlegm dampness，turbid toxin and blood stasis caused by the “deficiency qi” of the Zangfu organs is the inducement of the disease. In clinical treatment，“tonifying deficiency” and “removing stagnation” should be carried out simultaneously，by “tonifying lung and qi，taking into account spleen and kidney，supplementing qi and strengthening spleen，nourishing heart and soothing liver，warming kidney and spleen，nourishing yin and filling essence” to “tonifying deficiency”，“dispelling wind and removing surface，clearing wind and collaterals，removing dampness and phlegm，reducing dampness and turbidity，promoting blood circulation and removing stasis” to “dispel stagnation”，so as to improve malnutrition. Based on the theory of “deficient-qi induced stagnation”，the author expounds the pathogenesis，characteristics，principles and methods of treatment of malnutrition after peritoneal dialysis，with a view to providing new ideas and methods for Chinese medicine in the treatment of malnutrition after peritoneal dialysis. |
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