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2015年04月01日
Real Wu Shang from chronic renal failure
Li Mingzhe The third affiliated hospital of traditional Chinese medicine in liaoning
China's traditional Chinese medicine to
The doctor of traditional Chinese medicine theory is that chronic renal failure more than the basic pathogenesis of belong to kidney Yang deficiency. Chronic kidney disease in kidney disease first commonly, or spleen and kidney disease, but this in renal disease. In patients with early disease due to kidney not taken water, see more Sou drowned more, especially at night, always sallow complexion, eyelids pale, tired tired, dizziness tinnitus, lumbar acid knee soft cold symptoms, (or) and cold limbs edema is not obvious, but patients at this stage is equal to the compensatory period and parts of decompensated period. Such as malpractice, illness development, kidney, there may be no water syndromes, patients with clinical manifestations of the urine is decreasing, often even anuresis, accompanied by floating face swollen limbs, or even with abdominal distention, stay, evil, mouth of urine and so on the clinical manifestations of the spleen and kidney Yang deficiency combined turbidity toxin implication, this stage can contain decompensation stage and failure stage uremia period and no complications. If further development condition, the lesion can be involved in it is dirty, including stomach, into the bloodstream, hearts, lungs, liver, etc and the stage of uremic stage, patients with Yin failure, are too numerous to evil, leading to increasingly serious illness, finally appeared in danger of dragon's closed off, Yin Yang wu hou.
Kidney for dirty water, the main water fluid, is refers to the kidney with a steaming and adjust the lose and excretion of body fluid, in order to maintain the function of the normal metabolism of body fluid. Kidney has presided over the role of water and fluid balance, is the key to true Yang and Yin of kidney coordination. Kidney Yang also said Yang, yuan Yang, a mild form, gas blood, promote reproduction and development, the main aspects of fluid metabolism function. Personal only the fire of kidney Yang through up and down, inside and outside compress, beginning to connect body to moderate, filled with qi and blood, spirit. Once the kidney Yang is not filling, "business is not widespread, growth retardation, viscera function is feeble, and a series of warm glow dereliction of duty, such as gasification has no right to syndrome. Body fluid, derived from the acception of the stomach, the spleen of transhipment, of lung, kidney steaming, the sanjiao (triple energizer) as the channel, lose people's body; After the metabolism of body fluid, then into a sweat, urine and so on. This process, must through the renal function of transpiration to complete. Kidney Yang is enough, warms appropriate, Yang open Yin, sealing with degrees. If the kidney Yang recession, do not gas water, close to hide not solid, opening and closing the phenomenon of the etiology, often characterized by urinary frequency, color more clear water, urine after Yu Li, appear even dissipation thirsty, weak pulse condition heavy whitish, pale tongue, etc. These symptoms mainly in chronic renal failure patients first, equivalent to compensatory and part of the chronic renal failure decompensation period, such as improper treatment, can rapidly development of deterioration.
The current warming Yang method for the treatment of chronic renal failure clinical better curative effect. Some scholars think the chronic renal failure and pathogenesis belongs to qi deficiency, spleen and kidney Yang deficiency, "Ming fire failure, choose true Wu Shang treatment to this qi, warming Yang and fill in the blood, the attending kidney Yang deficiency," Ming fire failure of the card, receive satisfactory curative effect. Spleen and kidney decline, wet poison inside is the key of pathogenesis, sudden due to spleen and kidney decline, gasification, spleen and kidney Yang deficiency, water stasis mutual knot, when to aconite root, dried ginger, atractylodes, poria cocos, big belly skin, alisma, grifola, salvia miltiorrhiza, angelica sinensis, rhizoma ligustici wallichii, such as the kidney, invigorate the circulation of the water.
True Wu Shang from han, zhang zhongjing theory of typhoid miscellaneous diseases, TCM clinical treatment of chronic renal failure is the representative of the spleen and kidney Yang deficiency syndrome, prescriptions, respectively, in the sun and disease piece article 82 and article 316, shaoyin disease indications spleen kidney Yang deficiency, water to drink in stop card, see urination, limbs heavy pain, what is limb edema, abdominal pain, under the whitish not thirsty, the sun setting or vein disease, sweating, he still fever, nervous heart, head dizzy, body Shun, flap to part.
True Wu Shang from poria cocos, peony, atractylodes, ginger, cannon, lateral root of aconite party in the hot, lateral root of aconite main into the kidney, heart can WenZhuang kidney Yang, pain, cold as the gentleman medicine; Poria cocos light permeability, water, ginger lines of cold water, the two taste association, jun medicine to explored, cold gas lines of water, as the official medicine; Atractylodes bitter sweet, warm, spleen dry wet; Radix paeoniae alba acid and small cold, the folding of the Yin priorities and muscle pain, and the urine, and the supervision of the lateral root of aconite temperature drying, as adjuvants. In five medicines, altogether plays WenYangLi water, make returning Yin water line. As Zhang Xichun in "recorded in medical applications and the west," said: "the use of lateral root of aconite XinWen zhuang yuan of kidney Yang, water is the main yi, the temperature of dry limit, and establish the, system of water is enough, the sheen of ginger powder, with lateral root to make up for Yang, in the way of filling water, the water in the yan, and especially focuses on the effects of the peony, its purport to cover personal electropositive radical in Yin, if ACTS to vulcanizing Yang, many with bitter of article, could really Yang over. Peony temple for the spring flowers, summer and withered, used to be strong to accept the sun be the spirit of loose after all."
Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2015-03/30/content_97261.htm