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林启展应用张琪经验方治疗慢性肾脏病经验

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本文对林启展教授应用国医大师张琪经验方治疗慢性肾脏病经验进行总结.张琪认为,慢性肾脏病基本病机以脾肾亏虚为本,在治疗上主张调补脾肾以恢复先、后天之功能,常以清心莲子饮、瓜蒌瞿麦丸和参芪地黄汤等古方化裁.林启展基于张琪学术思想,结合岭南以湿热为主的地区气候,因地制宜,以清热解毒利咽之法散上焦之邪、健脾补肾益气之法复中焦之运、清热渗湿通利之法泄下焦之浊,同时善用大黄、川芎、积雪草以减轻尿蛋白、抑制肾脏纤维化等,延缓肾功能衰竭.
Experience of Lin Qizhan in Treating Chronic Kidney Disease with Zhang Qi's Empirical Formula
This article summarized Professor Lin Qizhan's experience in the treatment of chronic kidney disease by using Zhang Qi's experienced formula.Zhang Qi believes that the basic pathogenesis of chronic kidney disease is based on spleen and kidney deficiency,and advocates regulating the spleen and kidney to restore the born and acquired functions in the treatment,often using the modified ancient formulas such as Qingxin Lianzi Decoction,Gualou Qumai Pills and Shenqi Dihuang Decoction.Based on Zhang Qi's academic thoughts,combined with the regional climate dominated by humidity and heat in Lingnan,Professor Lin Qizhan adapts measures to local conditions,and uses the methods of clearing heat,detoxifying and relieving the pharynx to disperse the pathogens of Jiao,strengthening the spleen and invigorating the kidney and invigorating qi,restoring the transportation of middle-Jiao,and clearing heat and dampness,and discharging the turbidity of Jiao,and at the same time making good use of Rhei Radix et Rhizoma,Chuanxiaong Rhizoma and Centellae Herba to reduce urine protein,inhibit renal fibrosis to delay kidney failure.

chronic kidney diseasesyndrome differentiation and treatmentancient formulas

叶凌妍、吴禹池、林启展

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广州中医药大学第二临床医学院,广东 广州 510405

广州中医药大学第二附属医院,广东 广州 510120

慢性肾脏病 辨证论治 古方

广东省中医院张琪学术经验传承工作室

E43712

2024

中国中医药图书情报杂志
中国中医科学院中医药信息研究所

中国中医药图书情报杂志

影响因子:0.556
ISSN:2095-5707
年,卷(期):2024.48(2)
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