中醫對於慢性腎臟病的長期療效

Traditional Chinese medicine for chronic long-term effect of kidney disease

劉夢薇(Meng-Wei Liu) ； 周暉哲(Hui-Zhe Zhou) ； 陳美如(Mei-Ru Chen) ； 林舜穀(Shun-Ku Lin)

《台北市中醫醫學雜誌》 24卷1期 (2018/03) Pp. 17-20

https://doi.org/10.6718/TJCM.201803_24(1).0003

摘要

慢性腎臟病患者能不能吃中藥已經爭論了許久，從民國九十二年的馬兜鈴酸事件開始，幾乎每年都有吃中藥會加速腎臟惡化，甚至是洗腎的新聞。以整個台灣為範圍的大規模長時間研究發現，慢性腎臟病患者在接受一般西醫照護的情況下，如果再加上合格中醫師的治療，可以降低惡化成腎臟衰竭風險，也可以降低死亡率。呼籲民眾一定要找合格的專業中醫師，切莫自行購買來路不明的中藥，更不建議自己去路邊採草藥回來煮。

關鍵字

慢性腎臟病 ； 腎臟衰竭 ； 中醫治療 ； 洗腎

並列摘要

Chronic kidney disease patients can eat Chinese medicine has been debated for a long time. Almost every year since the aristolochic acidosis in 2003 reported that people eating Chinese medicine would accelerate the deterioration of the kidneys and even kidney failure. A nationwide large-scale, long-term study found that patients with chronic kidney disease who underwent general western care and combined with appropriate Chinese medicine could reduce the risk of kidney failure and also reduce their mortality. We urge people to look for qualified professional Chinese medicine practitioners, do not buy unknown Chinese medicines themselves, and do not recommend picking and cooking herbs themselves.

並列關鍵字

Chronic Kidney Disease ； Kidney Failure ； Traditional Chinese Medicine Treatment ； Hemodialysis

參考文獻

Chuan Fa Hsieh, Song Lih Huang,Chien Lung Chen,Wei Ta Chen,Huan Cheng Chang, and Chen Chang Yang. Nonaristolochic acid prescribed Chinese herbal medicines and the risk of mortality in patients with chronic kidney disease: results from a population-based follow-up study. BMJ Open. 2014 Feb 21; 4(2): e004033. doi: 10.1136/bmjopen-2013-004033.

Lin MY, Chiu YW, Chang JS, Lin HL, Lee CT, Chiu GF, Kuo MC, Wu MT, Chen HC, Hwang SJ. Association of prescribed Chinese herbal medicine use with risk of end-stage renal disease in patients with chronic kidney disease. Kidney Int. 2015 Dec; 88(6): 1365-1373. doi: 10.1038/ki. 2015. 226. Epub 2015 Aug 5.