杨洪涛运用附子组方治疗慢性肾脏病临床经验_彭丽敏.pdfVIP

辽宁中医杂志 2009年第 36卷第 2期 # 181# 1 2 , 指导: ( 11 天津中医药大学, 天津 300193; 21 天津中医药大学第一附属医院, 天津 300193) : 慢性肾脏病以肾阳虚多见, 故温补肾阳是中医治疗慢性肾脏病的常用治法, 温补肾阳多用附子杜仲淫羊 藿等药附子 于温燥, 以祛寒见长现代药理研究提示, 附子主要化学成分是多种生物碱, 其中以乌头碱次乌头碱 中乌头碱为主, 附子有扩张肾血管, 增加肾血流量的作用邓剑英用附子组成治疗肾病综合征使撤停强的松后复发率明 显降低, 临床缓解率大大增加有报道用大黄附子配伍; 可以扶阳降浊, 有降低由于肾功能衰竭所致血中尿素氮及肌酐 升高的作用 : 慢性肾脏病; 温补肾阳; 附子; 配伍; 临床经验 : R25615 : A : 1000- 1719( 2009) 02- 0181- 02 Clinical Experience on Treatment of CKD W ith Aconite Composing Prescriptions by YangH ong Tao PEN G L i-m ing1, advisor: YAN GH ong-ao2 ( 11Tianj in Un ivers ity of TCM, T ianj in 300193, C ina; 21T e F irstAff iliatedH osp ital of T ianj in University of TCM, Tianj in 300193, C ina) Abstract: KD is awl ays kidney-yang deficiency, so w arming kidney yang is the traditional chinese medicine common treat- ment on KD. W e often use A conite, Eucomm ia ulmoides, Epmi deium, etc. Aconite is pathogenic warm and dryness, and can mainly w ipe off the chill. Modern phamacologicalstuidieshave shown that themain chem ical composition are many kinds of alka- loid, and the main components are Aconitine, M esaconitine, Hypaconitine. A contite have the effect on expanding renal vascular and increasing the renalblood flow. Dengjang-ying uses aconite composing prescriptions treating N ephrotic Syndrone. The results suggest that it can obviously reduce the recurrence ratew hen revoking the Prednisone, and can greatly increase the clinical remis- sion rate. It is reported that compatible rhubarb and aconite on kidney failure can reduce BUN, r in blood, and can strengthen yang drop turbid. K ey words: KD; W arm ing kidney yang; Aconite; ompatibility; linical experience , , , , , , , ,