基于中医体质治疗CKD水肿症状的研究进展

Research Progress on the Treatment of Edema Symptoms in Chronic Kidney Disease Based on Traditional Chinese Medicine Constitution

摘要: 目的：探讨阳虚质、气虚质、血瘀质与慢性肾脏病及其水肿症状发病的相关性以及基于中医体质理论运用中药对慢性肾脏病的临床研究进展，探讨该疾病易感体质的相关性，以期通过中医体质为切入点运用中西医联合治疗的诊疗模式，能够全面有效控制慢性肾脏病的发生发展。方法：采用回顾性分析法，通过查阅文献、图书、指南等相关文献，分析、总结近年来中西医对慢性肾脏病及相关中医体质的研究，探讨中医体质与慢性肾脏病水肿症状之间的因果关系。结果：目前慢性肾脏病发病的机制仍不明确，中医药治疗对慢性肾脏病患者的恢复有一定改善，同时阳虚、气虚、血瘀质在慢性肾脏病中医体质类型中分布占有较高比例。结论：基于体病相关、体质可调理论，辨体论治已经成为防治慢性肾脏病水肿症状的研究热点，并且也为治疗该疾病提供新的思路。

Abstract: Objective: This paper aims to explore the correlations between the Yang-deficiency constitution, Qi-deficiency constitution, Blood-stasis constitution and the onset of chronic kidney disease (CKD) and its edema symptoms, as well as the clinical research progress of applying traditional Chinese medicine (TCM) based on the TCM constitution theory to treat CKD, and to investigate the correlation of the susceptible constitution for this disease, with the aim of adopting a combined treatment model of Chinese and Western medicine by taking TCM constitution as the entry point, so as to comprehensively and effectively control the occurrence and development of CKD. Methods: A retrospective analysis method was employed. By consulting relevant literatures such as papers, books, and guidelines, the research on CKD and related TCM constitutions in recent years was analyzed and summarized to explore the causal relationship between TCM constitution and edema symptoms of CKD. Results: Currently, the pathogenesis of CKD remains unclear. TCM treatment has shown certain improvements in the recovery of CKD patients. Meanwhile, Yang-deficiency, Qi-deficiency, and Blood-stasis constitutions account for a relatively high proportion among the TCM constitution types of CKD. Conclusion: Based on the theories of body-disease correlation and constitution adjustability, diagnosis and treatment based on constitution have become a research hotspot in preventing and treating edema symptoms of CKD, and have also provided new ideas for the treatment of this disease.