[Inheritance of the Fourth Sinoscience Master Medical Road] Wang Yongjun's treatment of kidney

Content source: Chinese Chinese Medicine News Author: Zhejiang Province Hangzhou Hospital of Traditional Chinese Medicine Qiu Yi Yu Dongrong

Wang Yongjun is committed to the clinical treatment and research of kidney disease, and forms unique academic ideas and evidence experience on the basis of practice. He advocates the "illness-diagnosis-cure/syndrome/certificate" diagnosis and treatment thinking, and establish the theory of rheumatism of kidney disease; expand image thinking, establish a micro-syndrome system for kidney disease in traditional Chinese medicine; conduct research on IGA diagnosis and treatment, establish a LGA nephropathy treatment system; Chronic renal insufficiency is diagnosed by multi -channel diagnosis.

Wang Yongjun, a master physician of Hangzhou Hospital of Hangzhou, Zhejiang Province, has been devoted to the clinical treatment and research of kidney disease from the medicine for more than sixty years. On the basis of practice, he has formed unique academic ideas and evidence experience. There are countless patients. He advocates the "illness-diagnosis-cure/syndrome" diagnosis and treatment thinking, establish the theory of rheumatism of kidney disease; expands image thinking, establishes a micro-syndrome system for kidney disease and Chinese medicine; conducts research on IgA nephropathy diagnosis and treatment, and establishes a related treatment system; Chronic renal insufficiency is diagnosed by multi -channel diagnosis.

Advocate the "illness-syndrome differentiation-cure/syndrome" diagnosis and treatment thinking, and create the theory of rheumatism of kidney disease

Wang Yongjun advocated the examination of disease-syndrome differentiation-cure/certificate, and successfully applied this clinical thinking method to the clinical practice of kidney disease, integrating the characteristics and advantages of traditional Chinese medicine cure and western medicine cure, and achieved the combination of illness syndrome, mutual reference, long-term and short-term shortcomings , In line with the "Emperor's Inner Canon", "The beginning of good words, will be at the end; those who are close to words must know the far -reaching view" requirements.

Under the diagnosis and treatment of "Trial-Syndrome-Syndrome-Treatment/Symptoms", Wang Yongjun studied the evolution law of traditional Chinese medicine and his relationship with the pathogenesis, and innovatively proposed the "theory of rheumatism of kidney disease". The wind is yang evil, and its sexual leakage, the number of good deeds; the wetness is yin, its sexual stagnation, and it is difficult to heal. If the "good behavior changes" yangxie is combined with the "lingering difficult", it will interfere with the functions of kidney main water, Si Kai, and the main seal, which will cause edema and urine to increase urine protein and urine red blood cells. As a result, the qi and blood operation of the kidneys and kidney are interfered, and kidney paralysis and kidney work occur. Wang Yongjun also found that rheumatism is not only the initiator of primary glomerular diseases, but also a risk factor that leads to further development and aggravation of the disease.

Based on the results of the survey of clinical sample certificates, Wang Yongjun regulated the evidence of the syndrome of rheumatism: ① multiple foam in the urine (urine protein quantity ≥1.0g/24h, or polymorphic celluria); Edema, skin eczema, itching, evil wind, and body muscle joints; ③ increased urine protein, and hematuria also fluctuates; ④ Although the quantity of urine protein is <1.0g/24h, rheumatism is effective. If the rheumatical syndrome appears, if the kidney astringent essence is still used, and the qi and yin (blood) prescription is used, the curative effect is naturally discounted. Atractylodes, ground yellow, white peony) addition and subtraction, which is beneficial to qi, nourishing blood, promoting blood circulation, expelling wind, and wins. Commonly used add and subtract drugs such as thunder vine, ghost arrow feathers, grasshoppers, mountain dragons, torch flowers, Xu Changqing, Qingqing, Qingqing Qing, Qing Feng Teng and so on.

Expansion of imagery and establishing a micro -syndrome system for nephropathy Chinese medicine

Tibetan image theory is one of the core contents of the basic theory of traditional Chinese medicine. For example, "Scripture · Tibetan Elephant Theory" says, "Elephant, image also, live in the inside, and see it outside, so it is called Tibetan elephant." Being out of shape. " Wang Yongjun believes that the clinical manifestations of the disease/certificate have both macro "outer scenes", micro -"interior scenes", and "unsightly visible" but have the "Xuanfu" function that has the function of "liquid liquid in and out", that is, that is, that is, The content of the reminder of looking at the question has both traditional macro information and various micro -information. Therefore, it is proposed that Chinese medicine should pay attention to micro -syndrome differentiation, and the theory of traditional Chinese medicine is used as the basis for formulating the treatment plan. Wang Yongjun leads the laboratory of kidney puncture, establishment of kidney disease, and kidney pathological rooms, so that the research of traditional Chinese medicine has gradually deepened, and provides a basis for the micro -syndrome differentiation of traditional Chinese medicine kidney disease.

On this basis, Wang Yongjun explained and established a traditional Chinese medicine micro -syndrome system including kidney deficiency syndrome, stasis syndrome, rheumatism, liver wind syndrome, and drowning syndrome. For example, kidney deficiency syndrome is manifested as a reduced number of kidney units, and glomerular filtering barrier damage. The stasis syndromes include discord, dead blood condensation, and internal renal micro -accumulation, which can be manifested as glomerular balls stenosis or expansion, capillaries shrink, collapse, glomerular capillary wall breaks, and intravascular micro -vascular microcontroller Formation of thrombosis, while glomerular sclerosis, small tube atrophy, intercorded fibrosis, fibrous crescent moon body, etc., are composed of internal micromia. The manifestation of rheumatism and nephrotic disease is the hyperplasia of the glomerular membrane cells or the hyperplasia of the endothelial cells of the capillaries, the foot cell hypertrophy, falling off, the fusion of the feet, the formation of the crescent moon body Related indicators. At the same time, Wang Yongjun used modern science and technology to expand the traditional fourth diagnosis, and included objective results such as quantitative urine protein, urine red blood cells, blood creatinine, blood pressure, and kidney pathological in 24 hours of syndrome differentiation.

Carry out the research of IGA nephropathy diagnosis and treatment, and establish a related treatment system

IGA nephropathy is not only the most common primary glomerular disease in my country, but also milder age. Its clinical and nephrological manifestations cover almost all primary glomerular diseases. Nephrine disease will occur within 20 years. Wang Yongjun led the team to carry out the research on Chinese medicine for IgA nephropathy. Through a survey of 1,148 patients with IGA nephropathy, IGA nephropathy mainly includes romantic kidney, kidney qi and yin (blood) deficiency, kidney stasis, liver wind in the liver wind, and liver wind. There are five types of syndrome in movement and drowning. Among them, kidney deficiency, stasis, and rheumatism are the main types of IgA nephropathy. On this basis, the IGA nephropathy syndrome innovation system is established. Kidney deficiency syndrome is one of the most common syndrome in kidney disease. Wang Yongjun believes that the common urine test abnormalities in patients with kidney disease are the subtle substances of the yin and blood of Chinese medicine. The pathogenesis is a lack of kidney qi. Based on the theory of Yin and Yang's mutual root, he advocated solidifying kidney astringent essence and nourishing qi yin (blood) in the treatment of chronic kidney disease deficiency syndrome. Commonly used nourishing kidney deficiency prescriptions include: ① astragalus, angelica, that is, Angelica Blood Decoction in Li Dongyuan's "Internal and Outside Internal Internal Injury Dislatime". Astragalus is a medicine for qi, and it is not only to supplement blood, but also the "opening, closing, and hub" of qi and blood. ② Astragalus Siwu Decoction, that is, Astragalus and Siwu Decoction (astragalus, Angelica, Dihuang, Chuanxiong, Hangzhou Baiyan). Siwu Decoction is a classic prescription for nourishing blood and nourishing blood. The group is known as the "blood qi medicine". Therefore, this prescription is better than that of astragalus and Angelica groups. Blood has a better blood circulation effect. ③ Astragalus two to soup, that is, astragalus plus two to pills (Astragalus, Jewelry, Rylotuma). Erzhi pills nourish the liver and kidney, nourish yin and blood, and have the effect of nourishing liver and kidney qi and yin, which is suitable for those who have deficiency of kidney deficiency and yin. ④ Astragalus Erxian soup, that is, astragalus plus water and land Erxian (Astragalus, Huai yam, Jin Yingzi, 芡 芡). Yam to strengthen the spleen and nourish the lungs, and solidify the kidney; Jinyingzi, 芡 芡 酸 山 阴 阴 阴 阴 阴 阴 阴 阴 阴 阴 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山 山. Three medicines and astragalus are compatible, and the kidney qi is replenished and the precision is self -solid. ⑤ Astragalus two -two soup, that is, Astragalus, the four things, the second to the second to the second immortal (astragalus, Angelica, Dihuang, Chuanxiong, Hangbaiji, female Jeongzi, Rylotus grass, Jinyingzi, 芡 芡, Hua Yam). The prescription is also the kidney qi and blood and qi yin, and can solidify the kidney and astringent essence. It is suitable for patients with chronic nephritis who have two deficiency of kidney qi and yin (blood), sealing their duties, and leakage.

Regarding the treatment of blood stasis syndrome, Wang Yongjun pointed out that the type of syndrome related to blood stasis must be clearly clarified. You must not only recognize the label and do not know the book. Do not see blood cure blood, see stasis and stasis, and take into account the blood and heat deficiency attributes and parts of blood stasis. In terms of blood stasis, it can be treated with three levels of blood circulation, stasis, and elimination. Among them, the recipes of the stasis stasis include: ① Add and subtract Taohong Siwu Decoction (peach kernel, safflower, angelica, earth yellow, Chuanxiong, Hangbaiyan). , Tonghe Luo pulse. Adding subtraction drugs can be selected from Salvia, raw puppet yellow, Wulingzhi, slot wool, whip grass, Zelan and so on. ② Add subtraction of blood stasis soup (cumulative grass, peach kernels, rhubarb), which is made of "Jin Kuangye Lue" under the blood stasis soup to remove tapeworms and accumulated incense grass. The party is mainly based on stasis, used to search for dead blood, so that stasis is not condensed, and it is mostly used for blood stasis. It can also be compatible with leech and dragon. ③ Add subtraction Rong Tang: Based on Tun Rongyin (Angelica, Chi Zhi, Chuanxiong, Curcuma, Rhubarb, Yuanhu, Mulberry Bai, Big Abdominal Skin, Poria Skin), you can choose Clampoors, San San, San Three Condor, Curdia, seaweed, tadpoles, cannon mountain armor. The prescription has both supplement and both, supplementing deficiency and elimination, and is mostly used for long -term patients with phlegm and stasis.

Create a series of recipes to diagnose and treat chronic renal insufficiency

Chronic renal insufficiency (CRF) refers to the continuous progress of kidney damage caused by various causes, irreversible renal of renal function, and eventually appear as the main manifestations Clinical syndrome, eventually relying on kidney replacement therapy. Kidney deficiency and blood stasis is the basic evidence of chronic renal insufficiency. On the basis of this, rheumatism or internal evidence of rheumatism or internal violin. The phlegm and stasis are the pathological basis of chronic renal insufficiency. The elimination of both sputum and stasis is the general rule of treatment. Mainly referring to the kidney, which is the root cause of the kidney to adjust the yin and yang qi and blood; Based on the above -mentioned treatment principles, Wang Yongjun founded the compound ciba cubic square and the recipe of uremia, and took different treatment for different stages of chronic kidney disease. The stage 3 of chronic kidney disease is mainly based on nourishing qi nourishing yin and promoting blood circulation. At the same time, it is necessary to be alert to the evidence of vitality and reasonable treatment. In addition, it should also be disconnected from turbidity; in addition to the need for qi and blood, in addition to the need to replenish blood and blood circulation, the focus is on filling kidney essence, turbidity and detoxification. If the disease continues and the evidence of the internal retention of turbidity is not alleviated, kidney replacement therapy is performed. Essence After that, the quality of life must be improved and patients can return to the family and society as the treatment goals.

The compound ciba Caica prescription is made of two ancient recipes of Angelica Buxue Decoction and the Blood Blood Soup of "Golden Workers" of Li Dongyuan. Fangzhong reuses astragalus to nourish qi to achieve the source of valuation. Angelica nourishes blood and camps, and the amount of astragalus is better than angelica. Clampscale has detoxifying swelling, blood circulation, and removing blood circulation, and the study shows that the ciba grass has the effects of regulating immunity, inhibiting scar hyperplasia, and anti -fibrosis. There are "supplements" of astragalus and angelica in the square, as well as the "elimination" of Clampoors, Peach Ren, and Rhubarb, which can be applied to the replenishment of kidney qi and blood and the dissipation of turbidity. After clinical and experimental studies, it has confirmed that the progress of renal damage can be effectively delayed. The net recipe of the uremilion combined with the effects of adsorption, diarrhea, and detoxifying, promoting blood circulation and removing blood stasis. Experimental studies have found that it can inhibit the synthesis of DNA and protein in the kidney cell cells, reduce the metabolism of the renal tubular, and regulate the internal amino acid metabolism; clinical studies have found that it can improve the symptoms of renal insufficiency. Reduce effect. The recipe of the uremilion series is mainly used for patients with chronic renal dysfunction and the evidence of blood stasis in the middle of the mid -to -medium period.

In addition, Wang Yongjun also founded and adopted multiple paths of traditional Chinese medicine intervention, and multi -link and multi -target treatment of various types of syndrome with chronic renal insufficiency. For example, chronic renal function can be treated in mid -term treatment in the morning and whole colon irrigation of traditional Chinese medicine enema and traditional Chinese medicine, and washing drugs is mainly rhubarb, locust flowers, oysters, etc., which is treated with ordinary anal canal treatment. Extracting turbid poisoning has a certain effect on improving renal function and renal edema. Another example is the hot water medicine bath. The main drugs include Poria, papaya, rhubarb, etc., which have the effects of promoting blood circulation, eliminating wind, eliminating swelling and detoxifying, and eliminating edema, especially for alleviating the skin itching of patients with uremia.

Edit: Dong Juntong

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