CRF常用中医药治疗方法CommonTCMtreatmentofCRF.docVIP

CRF常用中医药治疗方法CommonTCM treatment of CRF （一）中药汤方TCMdecoction：通常可将其分为下述中医类型The syndrome type ： 脾肾气虚型qi-deficiency of spleen and kindey 临床表现： 倦怠乏力tired，气短懒言short of breath，纳呆bad apetite腹胀abdominal bloating，腰膝酸软soreness of waist and knee，夜尿清长clear urine in large amounts at night,大便薄溏the stool is watery。脉细thready pulse，舌淡light color in tongue，苔薄白thin and white fur。多见于氮质血症早期Azotemia early。 治法： 补肾益精tonify kidney and nourish essence 方药：参苓白术散shen ling bai zhu powder合右归丸you gui wan加减：党参dang shen（人参ren shen）15g 茯苓fu ling15g 白术bai zhu10g 淮山药huai shan yao15g 苡米yi mi20g 熟地shu di huang15g 山萸肉shan yu rou6g 杜仲du zhong10g 当归dang gui10g 枸杞子gou qi12g 菟丝子tu si zi12g 等。若易感冒者加if you have a cold easily,you can add黄芪huang qi15g 白术bai zhu10g 防风fang feng9g；伴有手足心热，盗汗等阴虚者加if you have a fever in your palm and sole,have night sweating ,you can add熟地shu di huang 15g 当归dang gui12g。 气阴俱虚型deficiency of qi and yin 临床表现： 面色萎黄sallow complexion，倦怠乏力tired，少气short of breath懒言too tired to speak，腰膝酸软soreness of waist and knee，，皮肤少津dry skin，手足不温cold in hands and feet，大便不实或干结the stool is dry or watery ，尿少色黄little and yello urine，夜尿清长but clear urine in large amounts at night，舌质淡有齿痕light color in tongue and have tooth mark around the tongue，脉沉细deep thready pulse。多见于氮质血症期Azotemia。 治法：益气养阴，滋补脾肾invogorate qi nourish yin ,strengthen spleen and kidney 方药：大补元煎da bu yuan jian加减：党参dang shen（或人参ren shen）15g 熟地shu ding huang15g 淮山药huai shan yao15g 山萸肉shan yu rou6g 茯苓fu ling15g 北黄芪bei huang qi15g 枸杞子gou qi zi15g 当归dang gui10g等。气虚重者加if qi dificiency badly,add黄芪huang qi15g；水肿重者加if edema,add泽泻ze xie12g、茯苓fu ling9g、茅根mao gen30g。 脾肾阳虚型yang deficiency of spleen and kidney 临床表现：面色苍白pale，形寒肢冷feel cold，腰膝酸冷soreness of waist and knee，腹胀abdominal bloating便溏watery stool，溲少little urine夜尿多but too much urine at night ，肢体浮肿edema in limbs，舌质淡light color in tongue，体胖边有齿痕fat tongue ang have tooth mark around tongue，脉沉细或沉迟deep thready pulse or deep slow pulse。多见于氮质血症期Azotemia。 治法： 温补脾肾warming and invigorating spleen and kidney