“去宛陈莝”理论视角下膜性肾病湿瘀证的辨治阐释  

Interpretation on Differentiation and Treatment of“Dampness and Stasis Syndrome”in Membranous Nephropathy from the Theory of“Qu Wan Chen Cuo”

作　　者：刘娟 徐鹏 黎创[1,3,4] 梁星 田瑞敏[1,3,4] 包崑 LIU Juan;XU Peng;LI Chuang(The Second Clinical College of Guangzhou University of Traditional Chinese Medicine,Guangdong Guangzhou 510403,China;The Second Affilliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangdong Guangzhou 510120,China)

机构地区：[1]省部共建中医湿证国家重点实验室(广州中医药大学第二附属医院),广东广州510120 [2]广州中医药大学第二临床医学院,广东广州510403 [3]广东省中医药防治难治性慢病重点实验室,广东广州510006 [4]广东省中医院肾内科,广东广州510006

出　　处：《四川中医》2021年第2期31-34,共4页Journal of Sichuan of Traditional Chinese Medicine

基　　金：省部共建中医湿证国家重点实验室专项(编号:SZ2020ZZ18,SZ2020ZZ04);国家自然科学基金项目(编号:81974565,81774216);广东省中医药防治难治性慢病重点实验室(2018年度)(编号:2018B030322012)。

摘　　要：膜性肾病是成人肾病综合征的常见病理类型,其病机为本虚标实,以脾肾亏虚为本,水湿、瘀血为标。本文以膜性肾病的“湿证”、“瘀证”为切入点,基于“去宛陈莝”理论探讨膜性肾病以“通”为则的治疗原则,进而提出膜性肾病在治疗的早期就应积极祛除体内郁积之水湿、化除体内郁久之积血,使气血津液流通如常,促进膜性肾病的早期缓解。Membranous nephropathy is a common pathological type of nephrotic syndrome in adults.The pathogenesis of membranous nephropathy is based on deficiency of spleen and kidney,with dampness and blood stasis as the surface.In this paper,with“dampness syndrome”and“stasis syndrome”in membranous nephropathy as the breakthrough point,we try to explore the treatment of membranous nephropathy by“dredging”mainly based on the“Qu Wan Chen Cuo”theory,and finally put forward the strategies for the treatment of membranous nephropathy,in the early stage of membranous nephropathy,we should actively remove the dampness retention and blood stasis in the body to improve the circulation of Qi-blood,thus promoting the early ease of membranous nephropathy.

关 键 词：“去宛陈莝” 膜性肾病 湿证 瘀证 

分 类 号：R256.5[医药卫生—中医内科学]