陈志强中医药治疗特发性膜性肾病经验  

CHEN Zhi-qiang’s experience in the treatment of idiopathic membranous nephropathy with traditional Chinese medicine

作　　者：潘永梅[1] 王开爽 代成 崔唐明 陈志强 PAN Yong-mei;WANG Kai-shuang;DAI Cheng;CUI Tang-ming;CHEN Zhi-qiang(Hebei University of Chinese Medicine,Shijiazhuang 050200,China;Affiliated Hospital of Hebei University of Chinese Medicine,Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China)

机构地区：[1]河北中医学院,石家庄050200 [2]河北中医学院第一附属医院(河北省中医院),石家庄050011

出　　处：《中华中医药杂志》2020年第7期3460-3462,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：河北省省级政府资助临床优秀课题项目(No.2016034829);国家中医药管理局第六批全国老中医药专家学术经验继承项目(No.国中医药人教发[2017]29号);河北中医学院“大学生创新创业训练计划”项目(No.201814432050)。

摘　　要：特发性膜性肾病是成人原发性肾病综合征的常见病理类型之一,以大量蛋白尿、水肿、低蛋白血症、高脂血症为主要临床表现。本病的病理机制复杂,治疗颇为棘手,目前现代医学尚不能取得满意的疗效。陈志强教授提倡运用中医中药辨证治疗,认为本病以先后天脾肾亏虚为本,瘀血阻络、湿浊中阻为标,综合运用温肾健脾、利湿通络等方法,标本兼治,在临床上收到了良好的疗效。Idiopathic membranous nephropathy is one of the common pathological types of adult primary nephrotic syndrome.Its main clinical manifestations are massive proteinuria,edema,hypoproteinemia and hyperlipidemia.The pathogenesis of idiopathic membranous nephropathy is complex and its treatment is rather difficult.At present,modern medicine cannot achieve satisfactory results.Professor CHEN Zhi-qiang advocated the dialectical treatment of traditional Chinese medicine.He believed that the disease was based on congenital kidney deficiency and acquired spleen deficiency,with blood stasis and damp turbid internal obstruction.The methods of warming the kidney and strengthening the spleen,promoting the circulation of collaterals and removing dampness were used in combination,which achieved good clinical effect.

关 键 词：特发性膜性肾病 中医药 病因病机 辨证施治 陈志强 

分 类 号：R277.5[医药卫生—中医学] R249