孔薇治疗慢性尿酸性肾病经验  

KONG Wei’s Experience in Treating Chronic Uric Acid Nephropathy

作　　者：包能 于翔 顾鸣佳 王锦 孔薇(指导) BAO Neng;YU Xiang;GU Mingjia;WANG Jin;KONG Wei(Mentor)(Affiliated Hospital of Jiangnan University,Wuxi 214000,China;Nanjing University of Chinese Medicine,Nanjing 210029,China;Changshu Hospital of Traditional Chinese Medicine,Changshu 215500,China;不详)

机构地区：[1]江南大学附属医院,江苏无锡214000 [2]南京中医药大学,江苏南京210029 [3]常熟市中医院,江苏常熟215500 [4]不详

出　　处：《山东中医杂志》2020年第10期1089-1091,1096,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：2018年江苏省研究生实践创新计划(编号:SJCX18_0483)。

摘　　要：孔薇教授认为慢性尿酸性肾病病机以脾肾两虚为本、湿瘀痰阻为标,治疗需以益肾化瘀、利湿泄浊为法,在指导患者饮食调摄的基础上,配合药物治疗。用药注意固护脾肾,强调治虚以平补,祛邪以平泻,常在补肾基础上加用通腑泄浊之品,对痰瘀严重者加用藤类药以活血和络、化瘀消癥。列举验案1则以说明疗效。Professor KONG Wei believes that the principal pathogenesis of chronic uric acid nephropathy is the deficiency of spleen and kidney,and the secondary is the accumulation of dampness,blood stasis and phlegm.Therefore,treatments of the disease should focus on invigorating kidney and removing blood stasis,as well as eliminating dampness and discharging turbidity.Medical treatments should be given on the basis of teaching patients to modify their diet.On choosing medicinals,Professor KONG pays attention to strengthening and protecting spleen and kidney,treating deficiency with neutral reinforcement,and eliminating pathogen with neutral reduction.She often adds bowels-relaxing and turbidity-discharging medicinals to kidney-reinforcing prescriptions.For patients with severe phlegm and blood stasis,she adds rattan medicinals to promote blood circulation and dredge collateral,and to resolve blood stasis and eliminate mass.A successfully-treated case was described to illustrate the curative effect.

关 键 词：慢性尿酸性肾病 益肾化瘀 利湿泄浊 平补平泻 藤类药 孔薇 

分 类 号：R256.5[医药卫生—中医内科学]