管遵信名老中医论治慢性肾衰的学术思想.docVIP

管遵信名老中医论治慢性肾衰的学术思想 　　[摘要] 本文较完整地总结了管遵信教授应用“管氏肾病五联疗法”治疗慢性肾衰的主要学术思想。管教授认为慢性肾衰的病机极为复杂，病位虽在脾肾两脏，但病情进展会出现种种危重病象，五脏六腑均可受累。治疗本病应立足整体，从脏腑、经络、阴阳、气血入手，察其不衡以调之，临证时针、灸、药并举，重用灸法，身心同治；临床辨治还重视中西医结合、病证结合，对慢性肾衰常常按现代医学对慢性肾衰的不同分期进行分期辨治，同时根据原发病的不同分病辨治。 　　[关键词] 管遵信；慢性肾衰；中医药疗法；学术思想 　　[中图分类号] R692.5 [文献标识码] A [文章编号] 1673-7210（2016）09（a）-0108-04 　　[Abstract] This paper comprehensively summarizes the main academic theories that professor Guan Zunxin uses “Guan quintuplet therapy” to treat chronic kidney failure. Professor Guan considers that the pathogenesis of chronic kidney failure is very complex. The disease location of chronic kidney failure is the spleen and kidney， but a variety of critically ill symptoms will appear along with the progress of the disease. Internal organs can be involved. The treatment of this disease should be based on the whole， starting out from internal organs， meridians， yin and yang， qi and blood to find the imbalance and correct it. In the pro license， we rely on acupuncture， moxibustion and medicine simultaneously and reuse moxibustion in order to develop the physical and mental. Besides， we should attach great importance to the combination of the traditional Chinese and Western medicine and the combination of disease and syndrome. According to the different clinical stages of chronic kidney failure by the modern medicine， we introduce treatment based on stage differentiation. At the same time we can introduce treatment based on the different primary disease. 　　[Key words] Guan Zunxin； Chronic kidney failure； TCM treatment； Academic thinking 　　我国著名针灸学家、国家级名老中医管遵信教授临证五十余载，潜心研究肾病的治疗15年，创立“管氏肾病五联疗法”，针、灸、药并举，心身同治，治疗早中期慢性肾衰取得了突出的疗效。笔者有幸随管教授学习，现将其治疗慢性肾衰的学术思想述要如下，以飨读者。 　　1 立足整体，注重调衡，以平为期 　　整体观是中医思维最重要、也是最基本的特色之一。管教授强调人体本身就是一个和谐统一的有机整体，形与神，身与心，阴与阳，气与血，脏腑与经络，各体系内部及各体系之间相互影响、相互作用、相互依赖、相互制约，这种整体联系贯穿并体现于临床的各个方面，诸如生理、病理、诊断、治疗等。人体正常的生理活动是阴阳相对平衡的状态，即所谓“阴平阳秘，精神乃治”。疾病的产生则是由于各种因素导致的人体气机紊乱、阴阳平衡失调造成的，而治疗疾病的过程就是用相应的方法调整人体功能，使之达到协调、平衡、稳定的状态。正如《素问? 至真要大论》所言：“谨察阴阳所在而调之，以