孙伟护肾养阴法治疗慢性肾脏病

肾虚是慢性肾脏病发生发展的基础,由于先天不足、过食温燥、劳逸失度、情志内伤、久病迁延等因素,肾阴虚,乃至气阴两虚等证在临证中频频涉及。孙伟教授提出了护肾养阴法,在治疗上强调补益肾阴,兼顾五脏,弥补亏损之元阴。常用药有制黄精、山萸肉、旱莲草、女贞子、石斛、玉竹、黄芪、太子参等,慎用辛热之品以防劫阴太过,损耗肾阴。善用杜仲、川续断、菟丝子等平补肾阳之品,以期阳中求阴,并适当佐以活血化瘀药物,如当归、丹参、益母草、牛膝等,不致滋阴太过加重湿浊内蕴,使得补而不滞,养阴而不助邪。整体上更注重以养为护、养护并重,从而达到阴阳调和、延缓疾病进展的目的。

SUN Wei's Protecting Kidney and Nourishing Yin Therapy in Treating Chronic Kidney Disease

Kidney deficiency is the basis of the occurrence and development of chronic kidney disease. As a result of innate deficiency,excessive eating warm and dry food,imbalance of overstrain and rest,internal damage caused by emotions,prolonged illness and so on,it's very common to see symptoms of kidney yin deficiency,even qi and yin deficiency. SUN Wei proposed the method of protecting kidney and nourishing yin and emphasized nourishing kidney yin,also giving attention to five zang-organs,making up for the loss of original yin. Zhihuangjing(Polygonati Rhizoma),Shanyurou(Corni Fructus),Hanliancao(Ecliptae Herba),Nüzhenzi(Ligustri Lucidi Fructus),Shihu(Dendrobii Caulis),Yuzhu(Polygonati Odorati Rhizoma),Huangqi(Astragali Radix),Taizishen(Pseudostellariae Radix) etc. were commonly used. Herbs acrid in favor and hot in property should be used with caution to prevent excessive impairment of kidney yin. Duzhong( Eucommiae Cortex), Chuanxuduan( Dipsaci Radix) and Tusizi(Cuscutae Semen) were used to tonify kidney yang so as to treat yang for yin. Herbs for promoting blood circulation and removing blood stasis like Danggui(Angelicae Sinensis Radix),Danshen(Salviae Miltiorrhizae Radix et Rhizoma),Yimucao(Leonuri Herba) and Niuxi(Achyranthis Bidentatae Radix)were assisted not to nourish yin excessively and aggravate the dampness and turbidity in order to prevent stagnation and assisting pathogen. Attention should be paid to take nourishing as care,emphasis on both nourishing and care to achieve the goal of harmonizing yin and yang and delaying the progress of chronic kidney disease.