补肾祛邪法治疗淋证经验探析  

A clinical analysis of treating Lin syndrome by the Bushen Quxie therapy

作　　者：马源 孔卫平 Ma Yuan

机构地区：[1]镇江市中西医结合医院,江苏镇江212000

出　　处：《中医临床研究》2020年第32期57-59,共3页Clinical Journal Of Chinese Medicine

基　　金：江苏省镇江市第二批老中医药专家学术经验继承项目(镇卫中医【2018】10号)。

摘　　要：淋证是肾病科常见多发病,常见于绝经后中老年女性,基本病机不外乎膀胱湿热内蕴为标,脾肾亏虚为本。孔卫平主任从肾气亏虚的角度出发,依据邪正交争的胜负进行辨证施治,孔师将淋证分为三个阶段:湿热稽留期、肾虚湿热期、肾虚余邪期。治疗以补肾祛邪为基本大法,分期辨证施治为主线,理气通淋、活血化瘀贯穿始终,不仅能够有效改善患者发作期诸症,对于避免反复发作亦有远期效果。Lin syndrome is a common and frequently-occurring disease in nephrology.It is common in middle-aged and elderly women after menopause.The basic pathogenesis is nothing more than Shire(湿热)accumulated in the bladder,as the source of the symptoms,and Pishen-deficiency(脾肾亏虚),as superficial symptoms.From the perspective of Shenqi-deficiency(肾气亏虚),syndrome differentiation and treatment was applied in treating Lin syndrome,and Lin syndrome was divided into three stages,namely Shire retention period,Shen-deficiency Shire period(肾虚湿热期),Shen-deficiency and evil-remaining period(肾虚余邪期)by Director Kong Weiping.The treatment was based on the basic method of invigorating the kidney and eliminating pathogens.The main line of treatment was syndrome differentiation.Regulating Qi(气)and promoting blood circulation and removing blood stasis were implemented from beginning to end of the treatment.The therapy can not only effectively improve symptoms during the onset,but also have a long-term effect on avoiding repeated attacks.

关 键 词：淋证 补肾祛邪 经验 参芪地黄汤 

分 类 号：R256.52[医药卫生—中医内科学]