孙伟运用补肾清利活血法治疗慢性肾脏病经验

孙伟教授认为"肾常虚"是肾脏病常见病机。对于慢性肾脏病(CKD)的诊断和治疗,认为需从整体角度出发,辨证论治为主,遵循病证结合的原则,将微观、宏观相协调,他提出"脾肾衰微、湿瘀潴留"是慢性肾脏病的病机关键,治当以"补肾"为先,配合清利湿热、活血泄浊之法以调畅气机、祛邪外出,终使"阴平阳秘",诸脏调和。所论治CKD 3期为CKD中期之病,以脾肾两虚为本,以湿热、瘀浊并而为标,孙老师治以"补肾"为先,配以清热、利湿、化瘀、泄浊甚则解毒以调治本病,每多获效。

Professor SUN Wei Using Tonifying Kidney,Clearing and Promoting Urination,and Activating Blood Stasis to Postpone the Development of Chronic Kidney Disease

Professor SUN Wei holds that kidney deficiency is the disease mechanism for kidney disease.For the diagnosis and treatment of chronic kidney disease(CKD),Professor SUN holds that based on the wholism,syndrome differentiation and treatment should be applied,and should be in combination with the disease symptoms,that is,the macro- level and micro-level should be considered together. He proposes that deficiency of spleen and kidney with accumulation of dampness and stasis is the key of the disease mechanism,and the treatment should be tonifying kidney,with clearing damp-heat,activating blood circulation andpurging turbidity. By doing this,Qi activity can be regulated and evil Qi can be driven out,and at last,Yin and Yang in a relative equilibrium can be achieved,all the organs was harmonized with each another. CKD in stage Ⅲ is the disease of middle stage. Deficiency of spleen and kidney are the root while damp-heat,blood stasis and turbidity are the branch. Therefore,when treating the disease,Professor SUN Wei always tonifies kidney first,with clearing heat,removing dampness,promoting blood circulation,purging turbidity,even detoxification.