慢性肾脏病铁代谢紊乱的辨治思路
李秀典 沈萍 沈晓璞 李维民摘要 通过分析慢性肾脏病铁代谢紊乱的特点和李维民教授的临床典型病例,总结归纳慢性肾疾病(CKD)铁代谢紊乱的主要病机为脾肾精亏、肝失疏泄、湿热内蕴以及瘀血阻络。依此辨证论治,为中医药治疗铁代谢紊乱疾病和肾性贫血提供新的有效手段。
关键词 铁代谢紊乱;肾性贫血;功能性缺铁;慢性肾脏病; @ 李维民
Syndrome Differentiation and Treatment Experience of Disorder of Iron Metabolism in Chronic Kidney Disease
LI Xiudian1,SHEN Ping2,SHEN Xiaopu1,LI Weimin2
(1 Department of Nephrology,Second Affiliated Hospital of Heilongjiang University of Chinese Medicine,
Harbin 150001,China; 2 Jiamusi Chinese Medicine Hospital,Jiamusi 154000,China)
Abstract By analyzing the characteristics of iron metabolism in chronic kidney disease(CKD)and typical clinical cases of Professor LI Weimin,it is concluded that the main pathogenesis of CKD iron metabolism disorders are spleen and kidney essence deficiency,liver dysfunction,internal accumulation of damp-heat,and blood stasis blocking the collaterals.According to this syndrome differentiation and treatment,traditional Chinese medicine can provide the new effective methods for the treatment of iron metabolism disorders and renal anemia.
Keywords Iron metabolism; Renal anemia; Functional iron deficiency; Chronic kidney disease; @ LI Weimin ......
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