基于蓄血证概论浅析难治性肾病综合征的治疗  

Analysis of Treatment of Refractory Nephrotic Syndrome Based on Introduction of Blood Storage Syndrome

作　　者：王然 曹继刚[1] 蔚文垚 王齐开 姜兴宇 颜强 WANG Ran;CAO Jigang;WEI Wenyao;WANG Qikai;JIANG Xingyu;YAN Qiang(Hubei University of Traditional Chinese Medicine,Wuhan 430061,China;不详)

机构地区：[1]湖北中医药大学,湖北武汉430061

出　　处：《中外医学研究》2023年第2期121-124,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：2022年校级科研平台项目:中医药防治生殖系统疾病研究中心(中医校[2022]80号);武汉中青年名中医项目(武卫[2019]17号);2021湖北中医药大学科研团队建设项目(中医校[2021]183号);湖北中医药大学2002年度中医药传承创新计划资助项目(2022SZXC006)。

摘　　要：难治性肾病综合征(refractory nephritic syndrome,RNS)是慢性肾脏病治疗中最为棘手、预后较差、最易引起肾功能下降的肾病类型。从临床角度看,蓄血证与RNS有相似之处,RNS病程长,病机复杂,在临床中往往治疗效果不甚满意,随着病情迁延,往往会伴有血瘀、水湿、气虚等虚实夹杂的表现,与蓄血证相符。本研究通过门诊搜集信息,然后结合蓄血证相关理论,从病机、证候、治疗几方面阐述RNS与蓄血证之间的相互关系,并列举验案加以分析佐证,以此分析蓄血证理论治疗RNS的可行性,以期为临床提高RNS提供参考。Refractory nephritic syndrome(RNS)is the most difficult type of kidney disease in the treatment of chronic kidney disease with poor prognosis and easy to cause decline in kidney function.From the clinical point of view,blood storage syndrome is similar to RNS,RNS has a long course of disease and a complex pathogenesis,so the clinical treatment effect is often unsatisfactory,as the disease progresses,it is often accompanied by the appearance of blood stasis,water dampness,Qi deficiency and other mixed manifestations,which are consistent with the blood storage syndrome.This study collected information from the clinic,then combined with theories related to blood storage syndrome,elaborated the relationship between RNS and blood storage syndrome from several aspects of pathogenesis,syndrome,and treatment,and listed test cases for analysis and evidence,so as to analyze the feasibility of blood storage syndrome theory in the treatment of RNS,in order to provide reference for clinical improvement of RNS.

关 键 词：难治性肾病综合征 脾肾亏虚型 蓄血证 

分 类 号：R277.5[医药卫生—中医学]