Wei L, Chen B, Ye R, Li H
Department of Traditional Chinese Medicine, First Military Medical University, Guangzhou.
J Tradit Chin Med. 1999 Mar;19(1):3-9.
In this paper, the experience in the treatment of complications due to continuous ambulatory peritoneal dialysis for chronic renal failure with traditional Chinese medicine (TCM) is reported. Modified Renshen Yangrong Tang (Ginseng Nutrition Decoction) was used for anorexia and hypoproteinemia; modified Xiangsha Liujunzi Tang (Decoction of Cyperus and Amomum with Six Noble Ingredients) for abdominal pain and distension; modified Da Chaihu Tang (Major Bupleurum Decoction) for peritonitis; modified Shenling Baizhu San (Powder of Ginseng, Poria and Atractylodes) for diarrhea due to insufficiency of the spleen with abundance of dampness; Lizhong Tang (Decoction for Regulating the Function of Middle-jiao) and modified Sishen Wan (Pills of Four Miraculous Drugs) for insufficiency of both the spleen and the kidney; Siwu Tang (Decoction of Four Ingredients) added with other drugs for cutaneous pruritus, and Guishao Sijunzi Tang (Decoction of Four Noble Drugs added with Chinese Angelica Root and white Peony Root) for renal anemia. The therapeutic principles of invigorating the liver and kidney, strengthening the bones and muscles, and promoting blood circulation to eliminate blood stasis were adopted in the treatment of renal osteopathy, and the therapeutic principles of invigorating the liver and kidney, expelling phlegm and resolving dampness, and promoting blood circulation to eliminate blood stasis in the treatment of hyperlipemia. Shen Tekang capsules (capsules for improving the renal function) was administered to patients for strengthening the viability and improving the nutrition state, and the recipe for treating renal function failure (both formulated by the authors) for improving the renal function so as to decrease the frequency and duration of dialysis.
本文报道了运用中医药治疗慢性肾衰竭持续非卧床腹膜透析并发症的经验。采用加味人参养荣汤治疗食欲不振和低蛋白血症；加味香砂六君子汤治疗腹痛腹胀；加味大柴胡汤治疗腹膜炎；加味参苓白术散治疗脾虚湿盛泄泻；理中汤合加味四神丸治疗脾肾两虚；四物汤加味治疗皮肤瘙痒；归芍四君子汤治疗肾性贫血。治疗肾性骨病采用滋补肝肾、强筋健骨、活血化瘀的治疗原则，治疗高脂血症采用滋补肝肾、祛痰化湿、活血化瘀的治疗原则。给予患者肾特康胶囊（改善肾功能胶囊）以增强活力、改善营养状态，给予自拟治疗肾功能衰竭方（均由作者拟定）以改善肾功能，从而减少透析次数和缩短透析时间。
