孔薇教授辨治高尿酸血症肾损害经验  

Professor Kong Wei’s Experience in Treating Hyperuricemia-Induced Renal Damage

作　　者：廖晶静 孔薇[2] LIAO Jingjing;KONG Wei(Nanjing University of Chinese Medicine,Nanjing 210000,China;Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine,Nanjing 210000,China)

机构地区：[1]南京中医药大学,江苏南京210000 [2]南京中医药大学附属南京中医院,江苏南京210000

出　　处：《基层中医药》2022年第12期1-6,共6页Basic Traditional Chinese Medicine

摘　　要：慢性尿酸盐肾病是高尿酸血症肾脏损害的最常见类型,孔薇教授结合多年临床经验,提出慢性尿酸盐肾病的病因以脾肾亏虚为本,湿、痰、瘀阻滞为标,分急缓两期治疗,急性发作治疗上应以清热化湿、祛瘀泄浊为主,缓解期以补益脾肾、扶正祛邪为主。其推崇通络大法调畅全身气血运行,运用既病防变思想指导选方用药,以求延缓肾功能衰竭进展。本文通过分享孔薇教授治疗慢性尿酸盐肾病的临床经验,为治疗该病提供临床参考。Chronic urate nephropathy is the most common type of hyperuricemia-induced renal damage.According to years of clinical experience,Professor Kong Wei proposes that the principal cause of chronic urate nephropathy is the syndrome of deficiency in spleen and kidney,which is marked by the stagnation of dampness,phlegm,and stasis.The course of the disease can be divided into two stages.The patients at the stage of acute attack should be treated by clearing heat and resolving dampness,removing stasis and descending the turbid,while those at the relieving stage by tonifying spleen and kidney and strengthening healthy qi to eliminate pathogens.Professor Kong Wei advocates the method of dredging collaterals and regulating the movement of qi and blood in the whole body,and the medication based on the idea of preventing disease development to delay the progression of renal failure.This article shares Professor Kong Wei’s clinical experience in the treatment of chronic urate nephropathy,aiming to provide clinical reference for the treatment of this disease.

关 键 词：高尿酸血症肾损害 慢性尿酸盐肾病 名医经验 孔薇 

分 类 号：R24[医药卫生—中医临床基础]