对因上尿路结石或前列腺增生梗阻而导致肾功能衰竭的患者６５例，通过手术解除梗阻，术后结合中医辨证施治方药治疗，结果有３６例于２周内获得治愈，２６例好转，仅有３例患者仍有尿毒症，需进一步治疗。认为此类患者的辨治与常见的肾原性肾病相比有一定的特殊性，一是慢性梗阻者合并肾功能衰竭以脾肾阳虚证多见，并与病程密切相关，病程愈长，则阳虚之证愈明显。二是由于手术损伤或急性梗阻，易致湿热气滞。三是解除梗阻术后早期，由于肾小管损害，重吸收障碍所致术后渗透性利尿而出现多尿期，易见气津两伤之证；必须注意辨清虚实，随证施治 65 cases of renal failure due to obstruction of the upper urinary tract stones or benign prostatic hyperplasia, surgery to relieve obstruction, combined with traditional Chinese medicine syndrome differentiation after treatment, 36 cases were cured within 2 weeks, 26 cases improved, Only 3 patients still have uremia and need further treatment. That these patients with the differentiation of the treatment of renal primary nephropathy compared to a certain degree of specificity, first, chronic obstructive renal failure with spleen and kidney yin deficiency is more common and closely related to the course of the disease longer, Yang evidence more obvious. Second, due to surgical injury or acute obstruction, easy to cause damp-heat stagnation. Three is to lift the early postoperative obstruction, due to renal tubular damage, reabsorption caused by postoperative permeability diuretic polyuria, it is easy to see the two certificates of Qi and Jin; must pay attention to distinguish the actual situation, with the card Shi