中医肾脏病临床研究的几个关键问题

中医肾脏病的临床研究长期以来争议较多，关键在于临床研究方向不甚明确。基于长期的中医肾脏病临床研究实践，我们主张将肾脏病分成复合证型，有利于研究的设计与统计分析，可提高临床研究的实际操作性；治法方面，温阳药的应用、祛风湿法与清热解毒利湿法的鉴别，扶正法的地位，治则的组合及其应用时点等值得进一步研究。相关中药的研究是较为常见的切入点，临床疗效评价体系尚有待进一步健全。总之，中医临床研究要从临床需求出发，以问题为导向设计方案，有体系、有步骤的实施，才能提高研究的水平。

Several Key Issues on Clinical Research Direction of Traditional Chinese Medicine Kidney Disease

Clinical research of traditional Chinese medicine (TCM) kidney disease is controversial for a long time due to the unclear clinical research direction. Based on the long-term TCM clinical practice of kidney disease, we proposed that the kidney disease should be simply divided into a composite type, which was easier for the research design and statistical analysis. It also improved the actual practical ability in the clinical research. In the treatment aspect, further research should be conducted on the application of warm medicine, method of eliminating wind-dampness, method of clearing heat, detoxify and removing dampness, the role of strengthening the body resistance, as well as the combination of therapeutic principle and its application time. Related Chinese herbal medicine research is a common breakthrough point. The clinical efficacy evaluation system should be further improved. In a word, TCM clinical research should be from the clinical demand and followed by p