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【引用】名老中医张云鹏尿毒症介绍

2012-03-17 22:09:33| 分类：寻医问药 | 标签： |举报 |字号大中小订阅

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本文转载自贵州中医何钱《名老中医张云鹏尿毒症介绍》

名老中医张云鹏尿毒症介绍

李某，男，58岁。

慢性肾炎史十年。因头痛发热，下肢浮肿，尿蛋白+++，血肌酐高达5mg%而入院。经诊断为尿毒症。除西医治疗外，邀中医会诊：诊得浮肿尿少，腹胀腰酸，头晕颇甚，心慌气急，肢冷纳差，食后呕吐，舌质紫，苔白腻，脉弦滑。为阳虚血瘀，浊阴上逆。治宜攻下降浊，温阳活血。处方：生大黄9克(后下)，制附子30克，党参、黄芪各15克，桃仁9克，桂枝6克，白术、茯苓、猪苓、泽泻各9克，姜半夏15克。连续服二十天，肌酐降至3mg%，尿量增多，肢肿消退，头晕明显好转，同意出院。

按：在肾病后期，由于脾肾衰败，湿浊凝聚，郁阻中焦，胃气不降，浊阴上逆，经脉瘀阻。症见面色晦滞，不思饮食，恶心呕吐，头痛烦躁，甚者昏迷抽搐，常以攻下降逆和温阳扶正药同用而获效。取金匮大黄附子汤、千金温脾汤之义。

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