邵朝弟治疗肾积水经验

丁霑1，巴元明 2，胡锦庆 3，王甜甜 4

1.宜昌市第二人民医院，湖北 宜昌 443000；2.湖北省中医院，湖北 武汉 430061；

3.湖北省第三人民医院，湖北 武汉 430033；4.湖北中医药大学，湖北 武汉 430061摘要：肾积水是临床常见病、多发病，随着西医微创技术的广泛应用，虽然能够迅速解除梗阻，消除积水，但存在易复发、对肾脏造成不可逆损伤等缺点。中医药治疗本病具有独特的优势，能从根本上解除患者痛苦，防止复发，具有保护肾脏的优点。邵朝弟教授认为，肾积水的病机关键在于肾气亏虚，气化不利。治疗上予以益气健脾、补肾利水，临床采用萆薢分清饮加减治疗，疗效颇佳。关键词：名医经验；邵朝弟；肾积水

DOI：10.3969/j.issn.1005-5304.2017.08.028

中图分类号：R277.522.7 文献标识码：A 文章编号：1005-5304(2017)08-0115-03

Experience of SHAO Zhao-di in Treating Hydronephrosis

DING Zhan1, BA Yuan-ming2, HU Jing-qing3, WANG Tian-tian4 (1. The Second People’s Hospital of Yichang, Yichang 443000, China; 2. Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China; 3. The Third People’s Hospital of Hubei Province, Wuhan 430033, China; 4. Hubei University of Chinese Medicine, Wuhan 430061, China)

Abstract: Hydronephrosis is a common and frequent clinical disease. With the extensive application of minimally invasive techniques of Western medicine, it can quickly remove the obstruction and eliminate water. However, there may be problems of easy recurrence after surgery, causing more serious irreversible kidney damage. TCM has a unique advantage in the treatment of hydronephrosis, which can radically relieve the pain of patients, prevent recurrence, and protect the kidney function. Professor SHAO Zhao-di thinks that the cause of hydronephros is deficiency of kidney qi, which affects the function of gasification. Therefore, the treatment should be nourishing qi to invigorate spleen and reinforcing kidney for diuresis. In clinical practice, Bixie Fenqing Decoction can be used to treat hydronephrosis, which can obtain good efficacy.

Key words: experience of famous doctors; SHAO Zhao-di; hydronephrosis 肾积水是泌尿系统常见病之一，主要由结石、肿瘤、前列腺增生或输尿管发育畸形等因素，导致肾盏 和肾盂扩张，形成尿液滞留，因早期无明显症状而未受重视，导致积水进一步加重，引起肾实质萎缩，肾

功能减退，严重者导致肾功能衰竭[1]。目前，西医一般根据尿路梗阻的部位及原因，采用肾引流及手术的

方法[2]，但存在对肾脏及邻近脏器的损伤、术中或术后出血、严重感染等并发症，而且存在治疗不彻底、

基金项目：湖北省中医药科研项目（JDZX2014Z01）；湖北省医学

领军人才培养工程专项（2013年）

通讯作者：巴元明，E-mail：bayuanming@126.com