作者简介:邢越洋(1994—),女,汉族,硕士研究生在读,研究方向为中医内科学肾脏疾病方向。E-mail:1067127754@qq.com通信作者:范军(1973—),男,汉族,硕士,副主任医师,研究方向为中西医结合治疗肾病。E-mail:fan13312075859@126.com基于“去宛陈莝”理论探析慢性肾脏病中活血药物的应用邢越洋1王深1张宏旭1范军2*1.天津中医药大学,天津300073;2.天津市中医药研究院附属医院,天津300120【摘要】血瘀证是慢性肾脏病最常见的证候,瘀血贯穿疾病的始终,对疾病的发生发展和预后起着至关重要的作用,活血化瘀法是临床常用的治法。文章基于“去宛陈莝”理论,以瘀血为切入点,探析在慢性肾脏病的治疗中活血药物的分层次应用情况,以期为慢性肾脏病的临床治疗提供参考。【关键词】去宛陈莝;慢性肾脏病;活血药【中图分类号】R259【文献标志码】A【文章编号】1007-8517(2023)02-0004-03DiscussionontheUseofBloodActivatingMedicineinChronicKidneyDiseasewiththeTheoryof“DissipatingOldHydro-Stagnation”XINGYueyang1WANGShen1ZHANGHongxu1FANJun2*1.TianjinUniversityOfTraditionalChineseMedicine,Tianjin300073,China;2.TianjinAcademyofTraditionalChineseMedicineAffiliatedHospital,Tianjin300120,ChinaAbstract:Bloodstasissyndromeisthemostcommonsymptomofchronickidneydisease.Bloodstasisrunsthroughthediseaseandplaysavitalroleintheoccurrence,developmentandprognosisofthedisease.Activatingbloodcirculationandremovingbloodsta-sisisacommonclinicaltreatment.Thearticleisbasedonthe“dissipatingoldhydro-stagnation”theory,takingthebloodstasisasthebreakthroughpoint,talkingaboutthetreatmentofchronickidneydisease,theuseofbloodactivatingdrugsindifferentlevels,hasimportantclinicalsignificance,inordertoprovidecertainreferenceintheclinicaltreatmentofchronickidneydisease.Keywords:DissipatingOldHydro-Stagnation;ChronicKidneyDisease;BloodActivatingDrugs慢性肾脏病(chronickidneydisease,CKD)是指由各种原因导致的慢性肾脏结构和功能障碍的疾病。有研究[1]显示,我国成人CKD患病率为13.2%,并在逐年上升。大量临床观察和实验研究表明,瘀血贯穿慢性肾脏病病程始终,对疾病的发生、发展和预后起着至关重要的作用,“从瘀论治”“活血化瘀”是慢性肾脏病的重要治则治法。...