慢性肾衰竭中医治疗探讨

慢性肾衰竭基本病机为本虚标实 ,本虚主要为脾肾亏虚 ,标实为湿浊、水毒、瘀血。从微观辨证学角度认为 ,肾小球细胞增生、系膜基质增加、球囊粘连、纤维化等都可视为“瘀血”。采用健脾补肾、清利活血泄浊的肾康灵片治疗慢性肾衰竭 ,疗效显著。在中医辨证论治的基础上 ,重视中药的现代药理研究成果 ,有助于提高临床疗效。

Discussion on chronic renal failure from traditional Chinese medicine

Deficiency in origin and excess in superficiality was the basical pathogenesis of chronic renal failure (CRF).Deficiency in origin was asthenia of both the spleen and the kidney,and excess in superficiality was pathogenic damp,noxious water and blood stasis.The author regards hypercellularity,the proliferation of mesangial matrix synechia,fibrosis as blood stasis.It is remarkable to cure CRF with shenkangling tablets which has the effects of strengthening the spleen and tonifying the kidney,clearing away heat and promoting diuresis to eliminate dampness.It is possible to improve the curative effect by attaching importance to the latest pharmacological researches in traditional Chinese medicine.