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

CRF常用中医药治疗方法CommonTCM treatment of CRF （一）中药汤方TCMdecoction：通常可将其分为卜述屮医类型The syndrome type : 1、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 nighi,大便薄澹 the stool is wateryo 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 earlyo 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 lingl5g 白术 bai zhulOg 淮山药 huai shan yaol5g 戏米 yi mi20g 熟地 shu di huangl5g 山萸肉 shan yu rou6g 杜仲 du zhonglOg当归dang guilOg枸杞子gou qil2g菟丝子tu si zil2g等。若易感冒者 力H if you have a cold easily,you can add huang qi 15g 白术 baizhulOg 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 guil2g。 2^ 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Azotemiao 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 huang 15g 淮山药 huai shan yaol5g 山萸肉 shan yu rou6g 茯苓 fu lingl5g 北黄罠 bei huang qil5g 枸杞子 gou qi zil5g 当归 dang guilOg 等。 气虚重者加 if qi dificiency badly,add 黄茂 huang qil5g；水肿重者加讦 edema,add 泽泻 ze xiel2g 茯苓 fu ling9g 茅根 mao gen30g0 3^ 脾肾阳虚型 yang deficiency of spleen and kidney 临床表现：面色苍口 pale,形寒肢冷feel cold,腰膝酸冷soreness of waist and knee,腹胀 abdominal bloating 便?唐 watery stool, 了叟少 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,脉沉纟田或沉迟 deep thready pulse or deep slow pulse。多见于