关建国诊治慢性肾衰早、中期经验总结

慢性肾脏病已成为威胁全世界公共健康的主要疾病之一,该病持续进展至终末期肾衰(ESRD),其所需的医疗费用对国家、社会和患者家庭都造成巨大的经济负担1]。故加强慢性肾衰的早期防治十分重要。由于本病病因病机错综复杂,多由虚致实,最后形成虚实夹杂之证。因此,辨证论治观点各有不同,其法治方药变化多端,临床疗效难以评价,极不利于运用与交流。广西名中医关建国教授认为,脾肾亏虚,湿浊瘀血内阻,是慢性肾衰早、中期发病的主要病机,以培其本、祛其邪为则,以"有、无消化道症状"为纲进行论治,简便易用,临床疗效显著。

Summary of Clinical Experience of GUAN Jianguo in Treatment of Early to Middle Stages of Chronic Renal Failure

The chronic kidney was become one of the major diseases which threaten public health problem in the world. It continuously progresses to end - stage renal disease. And the medical expenses cause a huge economic burden for country, society and patientFIj. Therefore, it is important for the prevention and treatment of early stages of chronic renal failure. The etiology and pathogenesis of the disease is intricate, to form a mixture syndrome at last, so the treatments are different based on the dialectical view and the formulae under the rule of law are different. The clinical effects are difficult to evaluate and it has disadvantage for the use and communication. Professor GUAN Jianguo, the famous TCM doctor in Guangxi, thinks the spleen and kidney deficiency and damp - turbid and blood stasis resistance being the main pathogenesis of early to middle stages of chronic renal failure and takes the principle for removing its evil and the tenet of treatment based on syndrome differentiation had digestive tract symptoms and had no symptoms. The method of treatment has a good clinical efficacy.