肾脏疾病与脾胃功能关系的观察

本文对45例慢性肾病及慢性肾功能不全患者,辨证分为脾气(阳)虚、脾肾阳虚或脾肾气阴两虚。经过中药调理脾胃,通腑泄浊等治疗可改善症状。作者认为中医辨证有助于观察肾病时机体内在改变,并结合有关化验讨论了消化道症状产生的机理。

Observation on Renal Disease anti Function of the Spleen and Stomach

In the light of TCM theory that the kidney and the spleen and stomach are closely related and dysfunction of the spleen and stomach might occur in case of renal disease,we observed 45 patients with renal disease of various etiology,patients with chronic renal disease and chronic renal insufficiency,according to their tongue coat and pulse condition,were diagnosed and classified into 3 types:deficiency of the spleen-energy(or Yang),deliciency of energy of the spleen and kidney,or deficiency of both energy and Yin in the spleen and kidney.They were all shown with vital energy undermined yet pathogenic factors prevailing,occasionally accompanied with damp-heat or blood stagnancy.However,their cases could be improved through treatment with Chinese durgs to coordinate the functions of spleen and stomach,to clear up damp-heat,to activate blood circulation and eliminate blood stasis,etc. Cases with chronic renal insufficiency could be improved temporarily by purging off internal heat with purgatives. These cases would be significantly improved and the life of the patients could be preserved longer by hemodialysis.It was suggested that differentiation of symptom-complexes in TCM was helpful to the study of intrinsic changes of renal disease and mechanism of the resultant gastrointestinal symptoms,which might be related to hypoalbuminemia,uremic toxin and hypergastrinemia.