首页|傅晓骏教授"健脾补肾,化瘀祛浊"思想治疗慢性肾功能衰竭经验介绍

傅晓骏教授"健脾补肾,化瘀祛浊"思想治疗慢性肾功能衰竭经验介绍

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目的:总结傅晓骏教授治疗慢性肾功能衰竭的具体用药规律以及具体的临证思路,以推广傅晓骏名中医诊治慢性肾功能衰竭的学术思想及用药经验.方法:通过每周三天跟随傅晓骏名中医的专家门诊抄方及每周一次的中医名家病房查房,以整理傅晓骏教授治疗慢性肾功能衰竭的具体病案资料,并通过广泛阅读临床相关的学术文献,挖掘分析阐述傅晓骏教授论治慢性肾功能衰竭思路,探讨傅晓骏教授治疗慢性肾功能衰竭的具体用药特点及用药规律,以总结其治疗慢性肾功能衰竭的学术思想及临证经验.结果:傅晓骏教授治疗慢性肾功能衰竭,临证时特别强调标本同治,提倡治病求本,首当扶正,治疗方法中尤其重视从瘀论治,调理中焦脾胃,强调"中央健,四旁如"诊治思想,治则上以益气温阳方法为主,辅以活血化瘀、泄浊解毒、健脾利湿、清热解毒等治疗方法,并随症加减,始终强调身心同治,强调中医药一体化综合治疗的学术思想.傅晓俊教授临床诊治慢性肾功能衰竭时擅长运用药对,大大提高了临床治疗效果.通过将黄芪与水蛭、仙茅与淫羊藿配伍应用,可以有效治疗脾肾阳虚患者,同时还能够补充肝肾,增强精气,促进气血流通,从而缓解慢性肾功能衰竭患者的腰腿痛、疲劳,减少蛋白尿,提高肾功能.结论:傅晓俊教授以其独具匠心的中西医融会贯通,将传统中医和现代技术有机地融为一体,以期能够迅速、有效地控制肾脏疾病进展,临床效果显著,可改善慢性肾功能衰竭患者肾功能,延缓肾损害进展,具有一定的临床推广应用价值.
Professor FU Xiaojun's experience in treating chronic renal failure based on the idea of strengthening the spleen and kidney,removing stasis and turbidity
Objective:To summarize the specific medication rules and specific clinical ideas of Professor FU Xiaojun in the treatment of chronic renal failure,so as to promote FU Xiaojun's academic ideas and experience in the diagnosis and treatment of chronic renal failure.Methods:The expert outpatient prescription of FU Xiaojun three days a week and the ward rounds of the famous TCM doctor once a week were used to sort out the specific medical case data of Professor FU Xiaojun in the treatment of chronic renal failure,and through extensive reading of clinically relevant academic literature,the ideas of Professor FU Xiaojun on the treatment of chronic renal failure were excavated and analyzed,and the specific medication characteristics and medication rules of Professor FU Xiaojun in the treatment of chronic renal failure were discussed,so as to summarize the academic thoughts and clinical experience in the treatment of chronic renal failure.Results:In the treatment of chronic renal failure,Professor FU Xiaojun especially emphasized the synchronous treatment of the symptoms and the root cause of the disease,and advocated the root cause treatment of the disease first to strengthen the foundation,paid special attention to the treatment from stasis,emphasized the diagnosis and treatment idea of central health.And the treatment was mainly based on the method of benefiting temperature and Yang(阳),supplemented by the treatment method of Dromoting blood circulation,detoxification,strengthening the spleen,clearing heat and dampness,and adding or subtracting according to the symptoms,always emphasizing the treatment of body and mind at the same time,and emphasizing the academic idea of comprehensive treatment.Professor FU Xiaojun is good at using matched drugs in the clinical diagnosis and treatment of chronic renal failure,which greatly improves the clinical treatment effect.By combining Huangqi(Radix Astragali)and Shuizhi(Hirudo),Xianmao(Rhizoma Curculiginis)and Yinyanghuo(Herbaa Epimedii),and can also supplement the liver and kidney,enhance essence and Qi(气),and promote the circulation of Qi and blood,so as to alleviate low back and leg pain and fatigue in patients with chronic renal failure,reduce proteinuria,and improve kidney function.Conclusion:Professor FU Xiaojun has integrated TCM and modern techniques to quickly and effectively control the progression of kidney disease,gains remarkable clinical effects on chronic renal disease,improves renal function of chronic renal failure patients and delay the further progression of renal damage,which has certain clinical promotion and application value.

Chronic renal failurePromoting blood circulation and removing blood stasisAcademic experienceSyndrome differentiation and treatmentTCM therapy

熊荣兵、傅晓骏

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浙江中医药大学附属金华中医院,浙江 金华,321017

慢性肾功能衰竭 活血化瘀 学术经验 辨证论治 中医药疗法

浙江省傅晓骏名老中医专家传承工作室项目金华市科技局重点项目浙江省中医药科技计划

GZS20170272021-3-1422020ZB279

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(8)
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