王耀献辨机论治高血压肾病经验  

WANG Yaoxian’s Experience in Treatment of Hypertensive Nephropathy Based on Pathomechanism Differentiation

作　　者：魏蜀吴 姜伟民 张佳乐 薛哲哲 王文娜 孙卫卫[1] 王耀献(指导) WEI Shuwu;JIANG Weimin;ZHANG Jiale;XUE Zhezhe;WANG Wenna;SUN Weiwei;WANG Yaoxian(Mentor)(Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Beijing University of Chinese Medicine,Beijing 100029,China;不详)

机构地区：[1]北京中医药大学东直门医院,北京100700 [2]北京中医药大学,北京100029 [3]不详

出　　处：《山东中医杂志》2023年第7期751-755,共5页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局科研基金项目(编号:201207012)。

摘　　要：辨机论治是王耀献教授为补充辨证论治之不足、更好地揭示疾病之本质而提出的临床诊疗模式。王教授认为,与高血压肾病密切相关的病机类型主要有初始病机、体质病机、对证病机、对症病机、衍生病机、共通病机、兼夹病机。临证通过辨别上述七种病机,可厘清高血压肾病的本质,从而提出针对性治疗措施。附验案两则,具体展示辨机论治在高血压肾病中的应用。Treatment based on pathomechanism differentiation is a clinical treatment and diagnosis model proposed by Professor WANG Yaoxian to cover the shortage of treatment based on syndrome differentiation and better reveal the essence of disease.Professor WANG believes that the types of pathomechanism closely related to hypertensive nephropathy mainly include initial pathomechanism,constitution pathomechanism,syndrome pathomechanism,symptom pathomechanism,derivative pathomechanism,common pathomechanism,and concurrent pathomechanism.By identifying the above seven types of pathomechanism,the essence of hypertensive nephropathy can be clarified,and consequently the targeted treatment measures can be found.Two proved cases were attached to show the application of treatment based on pathomechanismin in hypertensive nephropathy.

关 键 词：高血压肾病 辨机论治 初始病机 体质病机 对证病机 对症病机 衍生病机 共通病机 兼夹病机 

分 类 号：R259[医药卫生—中西医结合] R249[医药卫生—中医内科学]