张琪教授辨证治疗IgA肾病血尿  被引量:24

Professor ZHANG Qi Treatment Based on Syndrome Differentiation of IgA Nephropathy Urine

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作  者:于卓[1] 李莲花[1] 于梅[1] 张佩青[1] 

机构地区:[1]黑龙江省中医医院肾二科,黑龙江哈尔滨150036

出  处:《实用中医内科杂志》2012年第2期12-13,共2页Journal of Practical Traditional Chinese Internal Medicine

摘  要:张琪教授认为,IgA肾病血尿发病之初以肾为病变中心,日久入血则出现血的运行失常而形成血瘀,属本虚标实。肝肾阴虚或气阴两虚是其本,邪热瘀毒是其标。通过辨证与辨病相结合,根据患者体质差异施用清热凉血化瘀法、滋阴收敛止血法、益气阴清热止血法、补肾阴降火益气法及益气补肾收敛固脱法治疗。血尿日久则形成血瘀,根据证候特点,辨别血尿发作不同阶段,动态观察标本缓急、阴阳虚实变化;根据现代医学IgA肾病血尿致病机理,病理分级、物理化学检查结果而灵活变通用药。Think IgA kidney disease by professor ZHANG Qi of urine at the beginning of the renal lesion in for center, long into the blood, the operation of the blood appear certified and form blood stasis, belong to this empty mark reality. Kidney Yin deficiency or gas Yin deficiency of both is its this, heat and blood stasis and the standard is poison. Through the syndrome differentiation and disease differentiation and combination,according to patients' physical differences clear heat of cool blood to remove method, nourish Yin convergence hemostatic method, tonifying qi, warming the bleeding law clear heat Yin Yin send fire yiqi method and the kidney tonifying qi convergence solid off treatment method. Blood in the urine, is formed long blood stasis, based on syndrome features, distinguish different stages hematuria attacks, dynamic observation specimens,Yin and Yang false or true priorities change; According to the modem medical IgA nephropathy hematuria pathogenesis mechanism, pathology classification, physical and chemical test results and flexibility drug use.

关 键 词:IGA肾病血尿 溺血 中医药治疗 张琪 老中医经验 

分 类 号:R256.59[医药卫生—中医内科学]

 

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