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聂莉芳运用调理脾胃八法治疗慢性肾脏病经验

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聂莉芳教授认为慢性肾脏病的发生与脾胃功能失调密切相关,故在临床中常根据不同主症或针对不同病机灵活运用和胃降逆止呕、健脾祛湿利水、健脾益气升清、清化中焦湿热、清胃泻火通腑、脾肾气阴双补、健脾补肾温阳、肝脾同调和血八种方法治疗慢性肾脏病。聂老强调运用调理脾胃八法时要注意治脾、治胃有所侧重,主张健脾益气佐以行气消导之品以达补而不滞之效,同时兼顾脏腑之间的生克制化关系,尤其强调煎服法,认为各个诊疗细节兼顾,方能取得较好疗效。
NIE Lifang's Experience in Treating Chronic Kidney Disease by Eight Methods of Regulating Spleen and Stomach
Professor NIE Lifang believes that the occurrence of chronic kidney disease is closely related to the spleen and the stomach dysfunction.In clinical practice,she flexibly applies eight methods of regulating the spleen and the stomach to treat chronic kidney disease based on different main symptoms or pathological mechanisms,namely,the method of harmonizing the stomach and lowering the adverse qi to stop vomiting,the method of invigorating the spleen to remove dampness and promote diuresis,the method of invigorating the spleen to benefiting qi and raise clear yang,the method of clearing heat and dampness in the middle jiao,the method of clearing stomach fire and promoting bowel movement,the method of tonifying both qi and yin of the spleen and the kidney,the method of invigorating the spleen and tonifying the kidney to warm yang,and the method of regulating the liver and the spleen to harmonize blood.Professor NIE emphasizes that when using the eight methods to regulate the spleen and the stomach,attention should be paid to whether the focus is on treating the spleen or treating the stomach.She advocates invigorating the spleen and benefiting qi,supplemented with medicinals that promote qi circulation and digestion to achieve the effect of tonifying without stagnation.Mean-while,She pays attention to the interrelationships of generation and restriction among the zang-fu organs,and particularly emphasizes the methods of decoc-tion and administration of medication.She believes that considering all aspects of diagnosis and treatment is essential for achieving good therapeutic effects.

chronic kidney diseaseregulating the spleen and the stomachNIE Lifangexperience of a famous doctor

徐建龙、余仁欢

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中国中医科学院西苑医院,北京 100091

慢性肾脏病 调理脾胃 聂莉芳 名医经验

中国中医科学院西苑医院能力提升项目北京中医药薪火传承"新3+3"工程示范案例项目第五批全国中医临床优秀人才研修项目

XYZX0101-35020350002国中医药人教函[2022]1号

2024

山东中医杂志
山东中医药学会 山东中医药大学

山东中医杂志

CSTPCD
影响因子:0.431
ISSN:0257-358X
年,卷(期):2024.43(10)