李建民教授治疗IgA肾病经验  

Professor Li Jianmin’s experience in treating IgA nephropathy

作　　者：陈荟溪 李建民 谢晨 张亚楠 刘聪 CHEN Huixi;LI Jianmin;XIE Chen;ZHANG Ya’nan;LIU Cong(The First Clinical Medical College,Beijing University of Chinese Medicine,Beijing 100700,China;Department of Nephrology,Beijing Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100039,China)

机构地区：[1]北京中医药大学第一临床医学院,北京100700 [2]北京市中西医结合医院肾内科,北京100039

出　　处：《中国医药导报》2021年第24期136-139,158,共5页China Medical Herald

基　　金：北京市海淀区科技项目(K20110065)。

摘　　要：IgA肾病是临床常见的原发性肾小球疾病之一,以血尿、高血压、蛋白尿为主要临床表现。李建民教授认为本病的基本病机是本虚标实,脾肾气阴两虚为本,湿、热、毒、瘀为标;脉体空虚、肾络失养,肾络瘀痹、毒瘀互结贯穿疾病始终。辨证上强调病期与辨证相结合,治疗上注重补虚与泻实兼顾。以临床上常见的证型为切入点,在病因病机、证候表现、治则治法、选方用药加减等方面加以阐述。依据核心病机及核心病机的偏移,以“通络保肾复方”为基础方,同时吸纳经方时方及名家经验作为组分用药加减,做到辨证准确,用药得当,延缓疾病进展。临床上疗效颇佳,并附验案一则,以飨同道。IgA nephropathy is one of the common primary glomerular diseases,with hematuria,hypertension and proteinuria as the main clinical manifestations.Professor Li Jianmin believes that the basic pathogenesis of the disease is deficiency in origin and excess in superficislity,deficiency of spleen and kidney,qi and yin is origin,dampness,heat,toxin and blood stasis is superficislity.Emptiness of veins,loss of kidney collaterals,stagnation of kidney collaterals and blood stasis throughout the disease.Syndrome differentiation emphasizes the combination of disease stage and syndrome differentiation,and pays attention to replenishing deficiency and purging excess in treatment.Taking the common clinical syndrome types as the starting point,this paper expounds the etiology and pathogenesis,syndrome manifestations,treatment principles and methods,addition and subtraction of prescription and medication,etc.According to the core pathogenesis and the deviation of the core pathogenesis,taking“Tongluo Baoshen Compound”as the basic formula,and absorbing the time formula of Jingfang and the experience of famous experts as the component,the medication is added or subtracted.Achieve accurate syndrome differentiation,proper medication and delay the progress of the disease.Clinical curative effect is quite good,and an experimental case is attached,so as to share with competitors.

关 键 词：IGA肾病 肾络瘀痹 通络保肾复方 李建民 名医经验 

分 类 号：R256.5[医药卫生—中医内科学]