吕志平运用“和法”治疗慢性肾脏病的经验

关键词：慢性肾脏病；和法；和解少阳；调和脾胃；和络化癡；参芪肾康方；吕志平中图分类号：R49.5 文献标志码：A 文章编号：1007-313（05）03-0746-06DOI：10.13359/j.cnki. gzxbtcm.05.03.030

Experience of Lyu Zhiping in the Treatment of Chronic Kidney Disease with Harmonizing Therapy

ZHU Lin 1，2 ，ZHOU Jingwei'，LIN Zaoqiang²，FENG Liuchang²，HUANG Sha³，TAN Qinxiang²

[1.Dongzhimen Hospital，Beijing UniversityofChinese medicin，Beijing1O07oo，China；2.Shenzhen Hospital（Longgang）， Beijing UniversityofChineseMedicine，Shenzhen518116Guangdong，China；3.ScholofTraditionalChinese Medicine，Souther Medical University，Guangzhou 510515Guangdong，China]

Abstract：Chronic kidney disease （CKD）will eventually progress to end-stage kidney disease and has become one of thecommon obstinate diseases in China，which becomes a serious threat to human life.Traditional Chinese medicine （TCM） shows unique advantages in treating CKD.In the view of Professor Lyu Zhiping，disharmony，in particular the disharmony of yinand yang of kidney，contributes to the core pathogenesis of CKD.Disharmony between kidney and other organs，and disharmony between kidney and exogenous pathogens together with pathological products lead to the complication of yinand yang，superficial and interior，deficiencyand excess syndromes in the progression of the disease.Professor Lyu recommended that the clinical medication for CKD should be based on harmonizing therapy by harmonizing shaoyang meridian，harmonizing the spleenand stomach， andharmonizing collateralsand resolving blood stasis，thus to protect kidneyfunctionand slow down the progression of CKD.Based on years of clinical experience，professor Lyu formulated the Shen Qi Shenkang Prescription，which aims at primarily tonifying the kidney，and assisting by harmonizing the lung and spleen， clearing heat，removing dampnessand eliminating turbid，thus to treat symptoms and rot cause simultaneously， and then stronger clinical efficacy for CKD can be achieved.

Keywords：chronic kidney disease；harmonizing therapy；harmonizing shaoyang meridian；harmonizing the spleen and stomach；harmonizing collaterals and resolving blood stasis；Shen Qi Shenkang Prescription; Lyu Zhiping

慢性肾脏病（chronic kidnecydiseases，CKD）是指各种原因导致的肾脏结构与功能的慢性进展性破坏的一类肾脏疾病，且病程超过3个月，通常包括肾脏病理异常改变或肾小球滤过率 <60mL/ （2 （min⋅1.73m2） 。（剩余8945字）