国医大师南征教授从“瘀毒”论治消渴肾衰用药经验

国医大师南征教授提出消渴肾衰核心病机为毒损肾络、邪伏膜原。消渴肾衰之毒繁杂,风、热、水、湿、痰、瘀诸邪内外相引蕴结于肾,皆能积而化毒。然瘀毒者,久病多瘀,瘀久成毒,审毒治瘀,当以“解毒通络保肾,活血化瘀导邪”为大法。根据瘀毒所在部位与性质,总结为“痰瘀上犯者,当复其宣肃”“湿瘀困中者,当调其升降”“浊瘀下注者,当引而竭之”“气滞血瘀者,当行气化瘀”“瘀从寒化者,当温阳化瘀”“瘀与热合者,当清热化瘀”“气虚血瘀者,当补气活血”,故消渴肾衰之瘀毒应辨证求因,审因论治,治病求本。文章总结南征教授治疗消渴肾衰夹瘀毒的用药经验,供读者参考。

Experience of Professor NAN Zheng as a traditional Chinese medical master on the treatment of diabetes renal failure from the "stasis poison"

Professor NAN Zheng,a master of traditional Chinese medicine,proposed that the core pathogenesis of diabetes renal failure is toxic damage to kidney collateral and the accumulation of pathogenic factors in the membrane. He believed that the poison of diabetes renal failure is complicated,wind,water,wet,phlegm,blood stasis are lead in the kidney,which can accumulate and change poison. However stasis poison,the most extensive,trial poison cure stasis,when the "detoxification,blood circulation,blood stasis and evil" for the big method. According to stasis poison parts and properties,summarized as "stasis poison on shangjiao,is phlegm wet poison evil" "stasis poison in zhongjiao,is damp turbidity poison evil","stasis poison under xiajiao,is water stasis poison evil","qi stagnation and blood stasis,when the gasification of blood stasis","stasis poison with heat evil,is stasis heat poison evil","stasis poison with cold evil,is cold stasis poison evil","qi deficiency and blood stasis,when tonifying qi and promoting blood circulation", so diabetes renal failure of stasis poison should be flexible for cure,dialectical cause,cure. This is to summarize the experience of Professor NAN Zheng in the treatment of "stasis poison" of diabetes renal failure with stasis poison for reference.