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1、CRF常用中医药治疗方法CommonTCMtreatmentofCRF（一）中药汤方TCMdecoction：通常可将其分为卜述屮医类型Thesyndrometype:1、脾肾气虚型qi-deficiencyofspleenandkindey临床表现：倦怠乏力tired,气短懒言shortofbreath,纳呆badapetite腹胀abdominalbloating,腰膝酸软sorenessofwaistandknee,夜尿清长clearurineinlargeamountsatnighi,大便薄
2、澹thestooliswateryo脉细threadypulse,舌淡lightcolorintongue,苔薄白thinandwhitefur。多见于氮质血症早期Azotemiaearlyo治法：补肾益精tonifykidneyandnourishessence方药：参苓白术散shenlingbaizhupowder合右归丸youguiwan加减：党参dangshen（人参renshen）15g茯苓fulingl5g白术baizhulOg淮山药huaishanyaol5g戏米yimi20g熟地sh
3、udihuangl5g山萸肉shanyurou6g杜仲duzhonglOg当归dangguilOg枸杞子gouqil2g菟丝子tusizil2g等。若易感冒者力Hifyouhaveacoldeasily,youcanaddhuangqi15g白术baizhulOg防风fangfeng9g；伴有手足心热，盗汗等阴虚者加ifyouhaveafeverinyourpalmandsole,havenightsweating,youcanadd熟地shudihuang15g当归dangguil2g。2^气阴俱
4、虚型deficiencyofqiandyin临床表现：面色萎黄sallowcomplexion,倦怠乏力tired,少气shortofbreath懒言tootiredtospeak,腰膝酸软sorenessofwaistandknee,,皮肤少津dryskin,手足不温coldinhandsandfeet,大便不实或干结thestoolisdryorwatery,尿少色黄littleandyellourine,夜尿清长butclearurineinlargeamountsatnight,舌质淡有齿痕
5、lightcolorintongueandhavetoothmarkaroundthetongue,脉沉细deepthreadypulse。多见于氮质血症期Azotemiao治法：益气养阴，滋补脾肾invogorateqinourishyinstrengthenspleenandkidney方药：大补元煎dabuyuanjian加减：党参dangshen（或人参renshen）15g熟地shudinghuang15g淮山药huaishanyaol5g山萸肉shanyurou6g茯苓fulingl5g
6、北黄罠beihuangqil5g枸杞子gouqizil5g当归dangguilOg等。气虚重者加ifqidificiencybadly,add黄茂huangqil5g；水肿重者加讦edema,add泽泻zexiel2g>茯苓fuling9g>茅根maogen30g03^脾肾阳虚型yangdeficiencyofspleenandkidney临床表现：面色苍口pale,形寒肢冷feelcold,腰膝酸冷sorenessofwaistandknee,腹胀abdominalbloating便?唐water
7、ystool,了叟少littleurine夜尿多buttoomuchurineatnight,肢体浮肿edemainlimbs,舌质淡lightcolorintongue,体胖边有齿痕fattongueanghavetoothmarkaroundtongue,脉沉纟田或沉迟deepthreadypulseordeepslowpulse。多见于氮质血症期Azotemiao治法：温补脾肾warmingandinvigoratingspleenandkidney方药：真武汤zhenwutang加减：茯苓f
8、uling!2g>白术baizhu9g>附子fuzi6g>草果caoguolOg>干姜ganjianglOg>大腹皮dafupil5g>甘草gancao6go伴阴虚者去yindeficiencysubtract附子fuzi、干姜ganjiang,力口add巴戟天bajitianl5g^仙灵脾xianlingpil2g；水肿重者加edemaadd猪苓zhulingl2g、泽泻zexie9g；气虚者qideficiencyadd加黄罠haungqi9g、党参dangshe
