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从“阳虚毒蕴”角度辨治慢性肾衰高钾血症 被引量:1

Differentiation and Treatment of Hyperkalemia in Chronic Renal Failure from the Perspective of“Yang Deficiency and Toxin Accumulation”
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摘要 高钾血症是慢性肾衰竭的常见并发症,随着疾病发展进程,慢性肾衰高钾血症发生率呈升高趋势,慢性肾衰高钾血症发病隐匿,常导致患者因高钾所致心率失常、心脏骤停而失去生命。笔者查阅相关文献资料,深度剖析了慢性肾衰高钾血症之病机,认为本病病机为“阳虚毒蕴”,属本虚标实之证,提出本病治疗原则为“温肾助阳解毒”,并总结了相应的治法方药,以期为中西结合防治本病提供一定的理论依据。 Hyperkalemia is a common complication of chronic renal failure.With the development of the disease,the incidence of hyperkalemia in chronic renal failure is on the rise,and the onset of hyperkalemia in chronic renal failure is insidious,which often leads to the loss of life due to cardiac arrhythmia and cardiac arrest caused by hyperkalemia.The author reviewed the relevant literature and analyzed the pathogenesis of hyperkalemia in chronic renal failure,and concluded that the pathogenesis of this disease is“Yang deficiency and toxicity”,which is essentially a deficiency of positive Qi and a real symptom.At the same time,we proposed the principle of treatment for this disease as“warming Yang to help detoxify the kidneys”,and summarized the corresponding treatment prescriptions,with a view to providing some theoretical basis for combining Chinese and Western medicine to prevent and treat this disease.
作者 马澳伦 宁玲 黄贵华 李青 MA Aolun;NING Ling;HUANG Guihua;LI Qing(Guangxi University of Chinese Medicine,Nanning 530023,China;The School of Chinese Medicine,Hunan University of Chinese Medicine,Changsha 410208,China;The First Affiliated Hospital of Guangxi Medical University,Nanning 530023,China;The Third Affiliated Hospital of Yunnan Medical University,Kunming 650000,China)
出处 《中国民族民间医药》 2023年第5期12-15,共4页 Chinese Journal of Ethnomedicine and Ethnopharmacy
基金 黄贵华广西名中医传承工作室(桂卫中医发[2017]2号) 广西中医脾胃病临床医学研究中心(桂科AD19245168)。
关键词 慢性肾衰竭 高钾血症 阳虚毒蕴 中医治疗 Chronic Renal Failure Hyperkalemia Yang Deficiency and Toxin Accumulation TCM Treatment
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