紫癜性肾炎的病因病机及治法探讨  

Discussion of the Etiology and Treatment of Henoch Schonlein Purpura Nephritis

作　　者：刘洪[1] 杨敬[1] 黎颖[1] 郑新[1] 熊维建[1] 

机构地区：[1]重庆市中医院,重庆400021

出　　处：《中国中医基础医学杂志》2016年第11期1566-1568,共3页JOURNAL OF BASIC CHINESE MEDICINE

摘　　要：国医大师郑新教授认为,紫癜性肾炎病因病机基本特征是本虚标实,即肺脾肾亏虚为本,风、湿、热、毒、虚致瘀为标,是风湿热毒虚致瘀,困遏三焦,导致肺气虚失于通调、肃降,脾气虚失于运化、统摄,肾虚失于开阖,精室扰动、肾络灼伤,诱发蛋白尿、血尿为主要病机。治疗上以补肺健脾益肾治本,以活血化瘀通络为治瘀总则,分辨致瘀成因(风、热、湿、毒、虚)进行分证论治。Traditional Chinese medicine master ZHENG Xin thinks that deficiency in origin and excess in superficiality is the basic characteristics of etiology and pathogenesis of Henoch-Schonlein purpura nephritis. It＇s the essence of deficiency in lung,spleen and kidney, but that＇s manifestation of blood stasis caused by wind, damphess,heat, toxic, deficiency, which trap tri-jiao, give rise to lung deficiency lost to the tune and descending, Spleen deficiency in transport and control, kidney failure in opening and closing, essence room is disturbed, kidney collateral is burned, leading to proteinuria, hematuria, the permanent cure method is strengthening lung, spleen and kidney, dispersing blood stasis and dredging collateral is the general principle of removing blood stasis, but needs to discriminate the resolving blood stasis cause（ wind, wet, hot, toxic, deficiency）.

关 键 词：紫癜性肾炎 活血化瘀 肺脾肾亏虚 补肺健脾益肾 

分 类 号：R692.34[医药卫生—泌尿科学]