周静威从"通补法"论治慢性肾衰竭临床经验OA

Chronic Renal Failure(CRF)is a clinical syndrome characterized by the gradual decline of renal function leading to failure,which occurs slowly due to chronic kidney diseases caused by various reasons.It is characterized by a prolonged course of illness,complexity,and repeated aggravation.Clinically,it is often manifested as fatigue,lumbar soreness,foamy urine,edema of both lower extremities,hypertension,and other symptoms.In traditional Chinese medicine(TCM),CRF is mostly categorized under"guan-ge"(anuria and vomiting),"long-bi"(urinary retention),"shui-zhong"(edema),"shen-lao"(kidney consumption),and other categories.The pathogenesis of CRF hinges on"spleen and kidney deficiency as the root cause,manifested by stasis,dampness,heat,and toxicity".Professor ZHOU Jingwei often adopts the tonic method in clinical practice,proposing"supplementing combined with unblocking,and tonifying dredging"as the basic treatment principle.Focusing on invigorating spleen and tonifying kidney as the primary approach,and activating blood to remove blood stasis as the supplementary measure,this method has achieved satisfactory clinical efficacy.