国医大师熊继柏教授辨治肾病性水肿经验采撷  

Experience exploration on master of national physician Professor Xiong Jibai in the differentiation and treatment of nephrotic edema

作　　者：邓琳蓉 孙贵香 孙豪娴 张婷 厉佳俊 肖丹 DENG Linrong;SUN Guixiang;SUN Haoxian;ZHANG Ting;LI Jiajun;XIAO Dan(College of Traditional Chinese Medicine,Hu’nan University of Chinese Medicine,Hu’nan Province,Changsha410208,China)

机构地区：[1]湖南中医药大学中医学院,湖南长沙410208

出　　处：《中国医药导报》2020年第33期145-148,164,共5页China Medical Herald

基　　金：国家中医药管理局全国中医基础优秀人才研修项目(国中医药人教发〔2017〕24号);湖南中医药大学横向项目。

摘　　要：本文总结了熊继柏教授辨治肾病性水肿的临床经验。肾病性水肿首见于《黄帝内经》,肾虚受风,肾主水功能异常,发展成为水肿。肾病性水肿的诊断以西医实验室检查为主,临床辨证要分清阴水与阳水、虚证与实证、寒证与热证,以及水肿的部位。根据患者的主症,可分为气虚水肿、阴虚水肿、阳虚水肿及湿热水肿四型。在辨证确定治法、选择主方的同时,还要针对患者所表现的主要兼症,如蛋白尿、血尿、高尿酸、高血肌酐、高血压、腰痛及足跟痛,进行灵活配伍。This article summarizes the clinical experience of Professor Xiong Jibai in the treatment of nephrotic edema.Nephrotic edema is firstly seen in Huangdi Neijing.Kidney deficiency is affected by wind,and the governing water function is abnormal,which develops into edema.The diagnosis of nephrotic edema is mainly based on the Western medical laboratory examination.The clinical differentiation of syndromes should distinguish between yin edema and yang edema,deficiency and excess syndrome,cold syndrome and heat syndrome,and edema position.According to the main symptoms of the patients,it can be divided into four types:edema of qi deficiency,edema of yin deficiency,edema of yang deficiency,and edema of damp-heat.While determining the treatment method based on syndrome differentiation and choosing the main prescription,it is also necessary to flexibly match the secondary symptoms of the patients’symptoms,including proteinuria,hematuria,high uric acid,high serum creatinine,hypertension,lumbago and heel pain.

关 键 词：熊继柏 肾病性水肿 辨证论治 经验 

分 类 号：R692[医药卫生—泌尿科学]