温补肾阳法治疗慢性肾衰竭——肉桂、附子和仙灵脾的应用比较

温补肾阳是中医治疗慢性肾衰竭的常用治法,温补肾阳多用附子、肉桂和仙灵脾。附子、肉桂偏于温燥,以祛寒见长,仙灵脾偏于温润,以填精见长。现代药理研究提示,附子、肉桂扩张肾血管,增加肾血流量,仙灵脾则可有效缓解肾单位的"三高",减轻肾脏组织学改变。比较此二者治疗慢性肾衰肾阳虚证在中医理论及现代药理研究上存在的差异性,有利于辨证与辨病结合,有助于合理选方用药。

Comparison Among Cortex Cinnamomi, Radix Aconiti Preaeparata and Herba Epimedii in Treating Chronic Renal Failure

In the treatment of chronic renal failure by nourishing and warming kidney-yang, Cortex Cinnamomi, Radix Aconiti Preaeparata and Herba Epimedii are often used. The former two herbs especially tend to remove cold, and the latter tend to enrich kidney essence. Modern pharmaceutical studies have proved that the former two herbs can dilate kidney vessels and increase blood flow to kidneys, and the latter can relieve renal lesion. This comparison shows the differences of these three herbs in pharmaceutical actions, which helps syndrome and disease differentiation and treatment in Chinese medicine.