国医大师张琪辨治肝肾综合征经验

总结国医大师张琪教授辨治肝肾综合征(HRS)的经验, 认为HRS为本虚标实之证，与肝、脾、肾三脏功能失调密切相关，正虚为本，气滞、血瘀、湿热、邪毒为病机关键。临证当辨本虚标实, 审轻重缓急，谨守病机, 分期论治。早期疏肝理气，健脾和胃；中期温阳健脾，行气利水；晚期肝、脾、肾三脏同治, 消补兼施。 

National Medical Master Zhang Qi's Experience in Differentiating and Treating Hepatorenal Syndrome

Through summarizing the experience of professor Zhang Qi, a master of Chinese medicine, in the treatment of hepatorenal syndrome(HRS), it is concluded that HRS is a disease of deficiency at the root and excess at the symptoms, which is closely related to the dysfunction of liver, spleen and kidney. In other words, the weakened body resistance, qi stagnation, blood stasis, damp heat, and pathogenic toxins are the key to the disease mechanism. Thus, we should differentiate the deficient and excess causes of the disease to set the treating priorities right. Besides, we should closely follow the mechanism of the disease to treat it in stages. For example, in the early stage, we should dredge the liver and regulate the qi, and strengthen the spleen and stomach; in the middle stage, we should warm the yang and strengthen the spleen, and promote the qi and water movement; in the late stage, we should treat the liver, spleen, and kidneys together, and combine the elimination and supplementation methods at the same time.