五味宁石饮预防草酸钙结石复发的临床与机制研究.

Clinical and mechanism studies on preventing the recurrence of calcium oxalate stone with Wuwei Ningshi Decoction

卢子杰简历及讲座提要简历

卢子杰，男，医学博士，中药学博士后，江苏省中医院主任中医师、南京中医药大学第一临床医学院教授，江苏省优秀中医临床人才，江苏省青年岗位能手，入选国家中医药岐黄工程培养计划，全国优秀中医临床人才，师从著名中医药学家、国医大师、北京中医药大学王琦教授，担任世界中医药联合会男科分会常务理事，中国中西医结合学会泌尿系统专业委员会性与生殖学组委员，江苏省中西医结合学会泌尿系统专业委员会常委，江苏省医学会泌尿外科分会男科学组委员。擅长中西医结合治疗泌尿生殖系统疾病及中医经方治疗内科疑难杂症。

讲座题目：五味宁石饮预防草酸钙结石复发的临床与机制研究。

内容提要: 泌尿系结石具有发病率高、复发率高等临床特点，治愈后五年的复发率在百分之五十以上。中国属于世界泌尿系结石高发地区之一，人群患病率达百分之七左右。目前现代医学对泌尿系结石复发率高的原因尚不十分清楚。随着历史变迁与人类生活习惯的变化，泌尿系结石已从过去的下尿路结石演变为上尿路结石，中医病名也已从以尿频、尿急、尿痛、尿中有砂石排出的“石淋病”转变为以症状为主的“腰痛病”，中医病机从湿热下注，煎熬尿液成石，日久则脾肾两虚的“由实转虚”转为饮食失节，脾胃内伤在先，湿热蘊结下焦，煎熬尿液成石的“由虚转实”。讲座将从中医药的角度探讨泌尿系结石高复发的病因，并阐明中医药预防草酸钙结石复发的机制及临床疗效。

The clinical status of urinary calculus is on high incidence and recurrence rate with more than 50 percent rates of recurrence after 5 years of healing. China is one of the highest incidence areas of urinary calculus in the world with the prevalence of 7 percent or so. At present, the reason for high recurrence rate of urinary calculi is not very clear. The location of urinary calculus has evolved from lower urinary to upper urinary with the development of history and human life habits. The terminological name of the disease is developed from “Stone urinary disease” with the main symptoms of frequent, urgent and painful urine accompanied with stone excreted from the urine to “lumbago” with the main symptoms of flank pain. The TCM pathogenesis is also developed from the burning urine into stone due to downward accumulation of damp-heat, followed by spleen-kidney deficiency resulted which formed form excess to deficiency to the diet abnormal and digestion injuries first and then burning urine into stone from the downward accumulation of damp-heat the next. The lecture will focus on the explanation of the etiology of the high recurrent rate of urinary calcium oxalate and the mechanisms of preventing its recurrence as well as the clinical effects from the theories of TCM.

About Dr. Zijie Lu

Zijie Lu, male, MD & postdoctor of Chinese medicine; Chief Chinese physician of Jiangsu Province Hospital; Professor of the first clinical medical school of Nanjing University of TCM, Excellent clinical talents of TCM in Jiangsu province; the youth post master in Jiangsu province; the membership of national giza project training program of TCM; National excellent clinical talents of TCM with the tutor of the famous professor Wangqi who is the national master of TCM and works in Beijing University of TCM; the routine member of the men’s branch of the world federation of traditional Chinese medicine; Member of the sexual and reproductive section of the professional committee of urinary system of the Chinese association of traditional Chinese and western medicine; Member of the professional committee of urinary system of the association of traditional Chinese and western medicine in Jiangsu province; Member of the men’s department of urology branch of jiangsu medical association; Good at the treatment of urogenital system diseases with the combination of Chinese and western medicine in the treatment as well as the treatment of internal difficult and complicated diseases with Chinese classic herbal formula.