黄春林教授以“五脏相关”理论辨治IgA肾病经验  

Professor Huang Chunlin's Experience in Treating IgA Nephropathy with the Theory of"Correlation between the Five Viscera"

作　　者：陈意 蔡玉媛 余浩凯 邹川 CHEN Yi;CAI Yu-yuan;YU Hao-kai;ZOU Chuan(The Second Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405,China;The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学第二附属医院,广东广州510120

出　　处：《南京中医药大学学报》2023年第10期1049-1053,共5页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家中医药管理局黄春林全国名老中医传承工作室项目(2012KT1301);国家自然科学基金面上项目(81873142)。

摘　　要：总结黄春林教授以“五脏相关”理论辨治IgA肾病经验,认为IgA肾病的病位虽主要在肾与膀胱,但与肺、脾、心、肝等脏密切相关。病因可归纳为外感和内伤两方面,其中外感多因风、热、湿等邪毒侵袭人体;内伤多责之于脏腑功能的失调。病机核心在于肾气不固,肾中阴阳失调,气机升降失常,易外感内生病邪,标实邪气循经累及肾络,导致固摄无权,精血外溢,引发IgA肾病。治疗应从“以肾为本、五脏相关”的整体观出发,结合影响IgA肾病的发病、进展、难治因素及并发症进行辨证论治。The article summarizes Professor Huang Chunlin's experience in treating IgA nephropathy with the theory of"correlation between the five viscera"and proposes that although the disease location of IgA nephropathy is mainly in the kidney and bladder,it is closely related to the lungs,spleen,heart,liver and other organs.The etiology and pathogenesis can be summarized into two aspects:external infection and internal injury,among which external infection is often caused by pathogenic toxins such as wind,heat,and dampness invading the human body;internal injuries are often attributed to dysfunction of viscera.The core of the pathogenesis is that the kidney qi is not solid,the yin and yang in the kidney are out of balance,and the movement of qi is abnormally ascending and descending,which can easily lead to external and internal pathogenic factors.The excess of evil qi along the meridians can affect the kidney meridians,resulting in powerlessness in constraint,overflow of essence and blood,leading to IgA nephropathy.The treatment should start from a holistic perspective of"kidney-based and five-viscera-related",and be dialectical based on the onset,progression,refractory factors and complications that affect IgA nephropathy.

关 键 词：IGA肾病 五脏相关 整体观念 黄春林 名医经验 

分 类 号：R249[医药卫生—中医临床基础]