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Experience of treating chronic kidney diseases from the Shanghai style famous doctor TONG Shaobo |
WANG Jie CHEN Wenhao SUN Beibei JI Jing LI Yuting YU Hongji HE Liqun |
Department of Nephrology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200021, China |
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Abstract TONG Shaobo is a famous doctor of Chinese medicine and the successor of Ding′s internal medicine of Shanghai. In the long term clinical work, TONG Shaobo proposes to grasp the following key points in treating chronic kidney disease: Firstly, it is important to adjust the Yin and Yang, and give consideration of the lung, spleen and kidney. Secondly, the outside and the inside of body should be paid attention to, and adjust the tri-jiao. Thirdly, it is essential to strengthen the body resistance to eliminate pathogenic factors. TONG Shaobo believes that chronic kidney disease is the evidence of the deficiency, most of which are integrated false and solid, especially the deficiency of the spleen and kidney is the basis, leading to the damp wet, phlegm, blood stasis and other solid pathogenic factors. These factors will in turn lead to the dysfunction of the body, and which is difficult to be cured. Therefore, TONG Shaobo formulates a series of rules of treatment, taking into account the three organs-lung, spleen and kidney, paying attention to the harmonization of Yin and Yang. His treating rules not only helps the positive Qi, but also takes into account the existence of the pathogenic factors. He formula a series of therapies and rules in treatment, and uses multiple methods according to different syndrome differentiation.
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[1] Nashar K,Fried LF. Hyperuricemia and the progression of chronic kidney disease:is uric acid a marker or an independent risk factor?[J]. Adv Chronic Kidney Dis,2012,19(6):386-391.
[2] Wakasugi M,Kazama JJ,Yamamoto S,et al. A combination of healthy lifestyle factors is associated with a decreased incidence of chronic kidney disease:a population-based cohort study [J]. Hypertens Res,2013,36(4):328-333.
[3] 麻志恒,钟利平,余柯娜,等.海派名医童少伯论治肾脏病经验撷要[J].江苏中医药,2015,47(10):13-15.
[4] 刘朝业,张威英,胡军福,等.从中医阴阳本体结构理论探讨肾纤维化的机制与治疗[J].中华中医药学刊,2018, 36(3):638-640.
[5] 张金生,张宝霞.“肾精”与“干细胞”的同一性认识[J].中华中医药学刊,2018,36(2):326-328.
[6] 陈素枝,陈文军,檀金川.真阴不足为虚损性疾病的根源[J].中华中医药杂志,2017,32(12):5427-5429.
[7] 黄为钧,赵进喜,王世东,等.基于德尔菲法形成慢性肾脏病风邪证候要素判定专家共识的研究[J].中医杂志,2017,58(23):2004-2007.
[8] 夏嘉,何立群.名医童少伯治疗内科杂病经验初探[J].中医药信息,2016,33(1):62-63.
[9] 张冰冰,朱爱松,石岩.对于“五脏相关”理论的科学内涵探讨[J].中华中医药杂志,2017,32(7):3259-3263.
[10] 沈丽萍,高继宁.“以肾为主、五脏同调”法治疗慢性肾衰竭临证经验[J].上海中医药杂志,2016,50(5):21-23.
[11] 袁杭海,何立群.海派名医童少伯治疗慢性肾衰竭经验总结[J].中国中西医结合肾病杂志,2017,18(9):757-758.
[12] 石凯峰,张宁,柳诗意,等.补肾活血方通过调节Bcl-2/Bax凋亡相关蛋白对慢性肾脏病大鼠血管钙化的影响[J].中华中医药杂志,2017,32(5):2188-2193.
[13] 陈晛,李祥炜,张昕贤,等.何立群教授治疗慢性肾脏病韬略[J].中华中医药杂志,2015,30(3):758-760.
[14] 朱章志,曾绘域,廖华君,等.扶正祛邪方对糖尿病肾病大鼠肾组织MCP-1的影响[J].新中医,2017,49(4):12-15.
[15] 张江华,白璐,赵雯红,等.自拟益气养阴活血通络方对糖尿病肾病Ⅳ期患者临床疗效及炎性因子的影响[J].疑难病杂志,2016,15(9):923-925,930.
[16] 任桐,杨洪涛.系膜增生性肾炎与特发性膜性肾病的中医证型特点及中医诊治优化方案疗效研究[J].中国医药导报,2016,13(24):160-165.
[17] 郭晓媛,蔡月茹,孙广宇,等.扶正祛风方对膜性肾病大鼠蛋白尿及肾脏病理改变的影响[J].中国实验方剂学杂志,2018,24(1):136-141.
[18] 邹燕勤,易岚.治肾学术思想与临证思辨[J].江苏中医药,2017,49(2):1-6.
[19] 焦志娜,赵明明,张昱,等.加味黄芪赤风汤治疗IgA肾病蛋白尿的单病例随机对照研究[J].中国医药导报,2018,15(1):95-98.
[20] 宋雪阳,许朝霞,王忆勤.慢性肾脏病患者不同中医证型舌象特征研究进展[J].中华中医药杂志,2017,32(10):4555-4557.
[21] 上海慢性肾脏病早发现及规范化诊治与示范项目专家组,高翔,梅长林.慢性肾脏病筛查诊断及防治指南[J].中国实用内科杂志,2017,37(1):28-34.
[22] 余柯娜,麻志恒,钟利平,等.何立群从肝论治慢性肾病经验拾萃[J].中华中医药杂志,2016,31(1):120-123.
[23] 潘永梅,陈志强,贾蕊,等.活血化瘀通络中药对糖尿病肾病大鼠肾小管间质纤维化的影响[J].中华中医药学刊,2017,35(8):2105-2108.
[24] 李翔,杨沅君,刘杰夫,等.糖尿病肾病治疗的研究进展[J].中国医学创新,2016,13(30):142-145. |
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