Summary of clinical experience in the treatment of chronic kidney disease with spleen-kidney Qi deficiency
Chronic kidney disease(CKD)is a disease with abnormal kidney structure or function for more than 3 months caused by various reasons.In recent years,the incidence and hospitalization rate of CKD have been increasing gradually.Director HUANG Xinyan,a national key discipline leader,has been engaged in TCM clinical work for decades,and has unique insights and rich clinical experience in TCM patho-genesis,syndrome differentiation and treatment of CKD.Director HUANG believes that the pathogenesis of CKD is deficiency in origin and excess in superficiality,and clinically,spleen-kidney Qi(气)deficiency is common,which is accompanied with dampness-heat,turbid-toxin,blood stasis and wind evil.In the treatment,Director HUANG takes the care of the spleen and kidney as the starting point,and uses the tonic products in the main prescription to make the positive Qi gradually recover and remove the evil;And according to the different condition of patients,the methods of clearing dampness-heat,detoxifying turbidity,promoting blood circulation and removing blood stasis,dispersing wind and dispersing evil are given.At the same time,according to the severity and urgency of the disease of the patient,the medication should follow the principle of"Relieving the secondary in an urgent case and remov-ing the primary in a chronic case"to avoid missed treatment and misuse of treatment.In addition,Director HUANG also emphasizes that the treatment of CKD can be properly ombined with insect-like drugs to benefit kidney and strengthen the root,especially for reducing the urinary protein level of patients,which achieves good efficacy.In the external treatment of TCM,traditional Chinese medicinal materials retention enema and colon dialysis can be used to reduce kidney damage.Chinese medicinal materials bath,acupoint therapy and other combined treatment can also be used to increase the curative effect.In the course of clinical diagnosis and treatment,CKD patients are often complicated with other diseases,such as insomnia,spasmodic disease and stran-guria,which affect the treatment.Therefore,the prevention and treatment of complications should not be ignored in order to achieve the best therapeutic effect.In the process of learning from Director HUANG for diagnosis and treatment,the author summarizes the clinical experience related to the treatment of syndrome of spleen-kidney Qi deficiency chronic kidney disease,which is for reference.
Chronic kidney diseaseSpleen-kidney qi deficiencyDeficiency in origin and excess in superficialityInsect drugsEx-ternal therapy of TCM
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