高彦彬教授从络病论治IgA肾病经验拾萃  

Professor GAO Yanbin′s Experience in Treating IgA Nephropathy from Collateral Disease

作　　者：孟元[1] 王雨[1] 赵文景[1] 王悦芬[1] 崔方强 张涛静[3] 高彦彬[2] MENG Yuan;WANG Yu;ZHAO Wenjing;WANG Yuefen;CUI Fangqiang;ZHANG Taojing;GAO Yanbin(Department of Nephrology,Beijing Chinese Medicine Hospital,Capital Medical University,Beijing 100010,China;Capital Medical University,Beijing 100069,China;Oriental Hospital of Beijing University of Chinese Medicine,Beijing 100078,China)

机构地区：[1]首都医科大学附属北京中医医院肾病科,北京100010 [2]首都医科大学,北京100069 [3]北京中医药大学东方医院,北京100078

出　　处：《世界中医药》2020年第15期2298-2302,共5页World Chinese Medicine

基　　金：国家重点研发计划项目(2018YFC1704102);北京市属医院科研培育计划项目(PZ2019013)。

摘　　要：IgA肾病是引起原发性肾小球肾炎的最常见病因。高彦彬教授认为IgA肾病属中医“络病”范畴,病性本虚标实,辨证分型主张“以虚定型,以实定候”,本虚分为肝肾亏虚、气阴两虚、脾肾两虚、阴阳两虚4个证型,标实分为热毒伤络、风伏肾络、湿热壅络、肾络瘀阻、浊毒闭络5个证候;治疗上主张分期论治,以通络为主;急性发作期以邪实为主,治以祛邪通络;慢性缓解期,以正虚为主,虚实夹杂,治以扶正通络;辨证施治,随证加减,疗效满意。IgA nephropathy is the most common cause of primary glomerulonephritis.Professor GAP Yanbin believes that IgA nephropathy belongs to the category of“collateral disease”of traditional Chinese medicine.The pathological nature of the deficiency and standardization.The nature of the diease is deficiency root causese and manifestation excess.Syndrome differentiation classification advocates the“deficiency determines syndromes and excess determines symptoms.deficiency”of root causes is divided into liver and kidney deficiency,qi and yin deficiency,spleen and kidney deficiency,yin and yang deficiency of 4 syndrome types.Excess of manifestation is divided into 5 syndromes of heat poisoning damages collateral,wind and kidney collaterals,dampness and heat obstructed in collaterals,turbidity and toxin obstructed in collaterals.In the treatment,it is advocated by stage treatment,mainly through collaterals;the acute attack period is mainly dampness and evil.The treatment is to eliminate evil and remove obstructions in collaterals;in the chronic remission period.Healthy qi deficiency is the dominant,combined with deficiency and excess.The treatment is to support the healthy energy and remove obstructions in collateral;syndrome differentiation,modify the prescriptions according to the syndromes and the effect is satisfactory.

关 键 词：IGA肾病 络病 中医药 分期论治 辨证论治 通络法 临床经验 

分 类 号：R249.2[医药卫生—中医临床基础] R249.7[医药卫生—中医学]