通讯作者: 远方, 18102456268@163.com

DOI：10.12201/bmr.202604.00012

• 摘要：目的?总结远方教授运用中药联合结肠水疗治疗慢性肾衰竭（CRF）的临床经验与学术思想。方法?通过跟师临诊、整理医案及分析典型病例，系统梳理其对本病病机、治则及方药的认识。结果?远方教授认为CRF核心病机为“脾肾虚损，湿浊瘀毒内蕴”，创立“扶正固本、通腑泄浊”治疗原则。内治予经验方“扶正化瘀泄浊汤”（由黄芪、太子参、菟丝子、大黄、丹参等组成）健脾补肾、活血化瘀、通腑泄浊；外治采用结肠水疗，洁净肠腑，导邪外出。二者协同构建“内外同治”体系，该方案可有效降低患者血肌酐、尿素氮水平，改善临床症状，延缓疾病进展。结论?中药内服联合结肠水疗治疗CRF疗效确切，体现了中医“攻补兼施、内外同治”的诊疗优势，值得临床借鉴与推广。

  关键词： 慢性肾衰竭; 名医经验; 远方; 结肠水疗; 通腑泄浊

   

  Abstract: Objective: To summarize Professor Yuan Fangs clinical experience and academic thought in treating chronic renal failure (CRF) with Chinese herbal medicine combined with colonic hydrotherapy. Methods: Through clinical apprenticeship, case record analysis, and typical case studies, we systematically reviewed Professor Yuans understanding of the pathogenesis, treatment principles, and formulas for CRF. Results: Professor Yuan believes that the core pathogenesis of CRF is deficiency of the spleen and kidney, with internal accumulation of dampness, turbidity, stasis, and toxin. Accordingly, he established the treatment principle of strengthening the healthy qi and reinforcing the root, as well as clearing the fu-organs and draining turbidity. For internal treatment, the empirical formula Fuzheng Huayu Xiezhuo Decoction (composed of Astragali Radix, Pseudostellariae Radix, Cuscutae Semen, Rhei Radix et Rhizoma, Salviae Miltiorrhizae Radix et Rhizoma, etc.) is used to fortify the spleen and tonify the kidney, activate blood circulation and resolve stasis, and clear the fu-organs to drain turbidity. For external treatment, colonic hydrotherapy is employed to cleanse the intestines and guide pathogenic factors outward. These two methods work synergistically to establish an internal and external simultaneous treatment system. Clinical observation demonstrated that this comprehensive regimen can effectively reduce serum creatinine and urea nitrogen levels, improve clinical symptoms, and delay disease progression. Conclusion: The combination of oral Chinese herbal medicine and colonic hydrotherapy is effective for CRF, fully embodying the therapeutic advantages of Chinese medicine in simultaneous reinforcement and elimination and internal and external simultaneous treatment. It is worthy of clinical reference and promotion.

  Key words: Chronic Renal Failure; Famous Doctors Experience; Yuan Fang; Colonic Hydrotherapy; Draining Turbidity by Clearing Fu-Organs

  提交时间：2026-04-02

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• 序号	提交日期	编号	操作
  1	2026-03-24	10.12201/bmr.202604.00012V1	下载

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