孔薇教授治疗抗中性粒细胞胞浆抗体相关性血管炎肾损害经验  

Experience of Professor Kong Wei in Treating Kidney Injury of Anti-neutrophil Cytoplasmic Antibody Associated Vasculiti

作　　者：陶芳 TAO Fang(Department of Nephrology,Nantong Hospital of Traditional Chinese Medicine,Jiangsu Province,Nantong 226001,China)

机构地区：[1]南通市中医院肾内科,江苏南通226001

出　　处：《中国中医药现代远程教育》2023年第12期137-139,共3页Chinese Medicine Modern Distance Education of China

摘　　要：孔薇教授根据多年经验总结认为本虚标实为抗中性粒细胞胞浆抗体(ANCA)相关性血管炎肾损害的主要病机,因肺、脾、肾气阴不足,外邪乘虚而入,风寒湿热毒侵袭经脉,深入脏腑,痹阻血脉发病。此病病位在血脉,病变可波及全身,因血脉痹阻较甚或脉痹日久,其病变可累及肌肤和有关脏腑,以肺、肾损害为多,涉及心、肝等。此病治疗以补益脾肾、清热解毒、化湿行瘀为原则,具体要根据不同的发病阶段采取相应的治疗措施,此文举医案体现孔薇教授的诊治思路及临床效验。Professor Kong Wei concluded that this deficiency is the main pathogenesis of ANCA-related vasculitis and kidney damage from years of experience,insufficient lung,spleen and kidney qi and yin,external evil multiplied by deficiency,wind,cold,dampness and heat toxicity invaded the meridians,in-depth viscera,blocking blood vessels.The disease is located in the blood vessels,lesions can affect the whole body,because of blood vessels obstruction or pulse obstruction for a long time,its lesions can affect the skin to the internal organs,lung,kidney damage,involving the heart,liver and so on.The treatment of this disease is always based on the principles of tonifying spleen and kidney,clearing away heat and toxin,removing dampness and removing blood stasis.Specific treatment measures should be taken according to the specific stage of the disease,and medical records should be cited to reflect the diagnosis and treatment ideas and clinical effects.

关 键 词：脉痹 抗中性粒细胞胞浆抗体相关性血管炎 肾损害 孔薇 名医经验 

分 类 号：R249[医药卫生—中医临床基础] R277.5[医药卫生—中医学]