| 周柯,吴金玉.吴金玉教授治疗慢性肾脏疾病的临床经验[J].浙江中医药大学学报,2023,47(12):1472-1475. |
| 吴金玉教授治疗慢性肾脏疾病的临床经验 |
| Professor WU Jinyu’s Experience in Treating Chronic Kidney Disease |
| DOI：10.16466/j.issn1005-5509.2023.12.016 |
| 中文关键词: 慢性肾脏病 顾护脾胃 益气养阴 活血化瘀 医案 名医经验 吴金玉 |
| 英文关键词: chronic kidney disease take care of the spleen and stomach nourishing Qi and nourishing Yin promoting blood circulation and removing blood stasis medical records experience of famous doctor WU Jinyu |
| 基金项目:国家自然科学基金项目(81960866、82160878) |
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| 中文摘要: |
| [目的] 总结吴金玉教授治疗慢性肾脏疾病的临床经验。[方法] 通过临床跟诊，收集整理并分析记录吴教授治疗慢性肾脏疾病的医案，查阅相关古籍和文献资料，阐述吴教授对该病病因病机的认识，分析其诊治思路，并附验案加以佐证。[结果] 吴教授认为，慢性肾脏病总以本虚标实为主，以脾肾亏虚为本，湿浊瘀血为标，在临床治疗中重视顾护脾胃，从脾治肾，同时兼顾补益气阴，而邪实中又以“瘀血”为要，擅用活血化瘀之法。所举医案中医辨病为水肿，属脾肾气虚、瘀血内阻之证，治以健脾益肾、活血祛瘀、益气养阴、标本同治，以后天脾气固补先天肾气，祛除湿浊瘀血，邪去正安，疗效显著。[结论] 吴教授辨治慢性肾脏疾病，详辨病因病机，标本兼治，治疗上以脾肾亏虚、湿浊瘀血为切入点，据证化裁，疗效显著，值得临床学习和推广。 |
| 英文摘要: |
| [Objective] To summarize the clinical experience of Professor WU Jinyu in treating chronic kidney disease. [Methods] Through clinical follow-up， the medical records of Professor WU’s treatment of chronic kidney disease were collected， sorted out， analyzed and recorded. Relevant ancient books and literature were consulted to elaborate Professor WU’s understanding of the etiology and pathogenesis of the disease， analyze her diagnosis and treatment ideas， and it provided evidence with experimental cases. [Results] Professor WU believes that the chronic kidney disease is mainly characterized by deficiency of the essence and deficiency of the spleen and kidney， and marked by dampness and blood stasis. In the clinical treatment， attention should be paid to the protection of the spleen and stomach， treatment of the kidney from the spleen， replenishing Qi and Yin at the same time. In the pathogenic substance， the method of promoting blood circulation and removing blood stasis should be taken as the purpose. The medical case of traditional Chinese medicine was edema， which belonged to the syndrome of spleen and kidney Qi deficiency and internal obstruction of blood stasis. The treatment was to invigorate the spleen and kidney， promote blood circulation and remove blood stasis， benefit Qi and nourish Yin， treat both manifestation and root cause at the same time， and strengthen the spleen Qi with congenital kidney Qi， remove dampness， turbidity and blood stasis， and eliminate pathogenic factors. The curative effect was remarkable. [Conclusion] Professor WU differentiates and treats chronic kidney disease， differentiates the etiology and pathogenesis in detail， and treats both the manifestation and root causes. The treatment takes the deficiency of the spleen and kidney and dampness and turbidity-blood stasis as the starting point. The treatment is suitable according to the syndrome， and the curative effect is significant， which is worthy of clinical study and promotion. |
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