基于“体病相关”理论辨阳虚体质论治小儿肾病综合征的发病与防治  

Differentiation on the pathogenesis,prevention and treatment of nephrotic syndrome in children with yang deficiency physique based on“physique⁃disease association”theory

作　　者：渠可盈 任献青[1,2] 张博[1,2] 姜盈盈 QU Keying;REN Xianqing;ZHANG Bo;JIANG Yingying(The First Affiliated Hospital of Henan University of Chinese Medicine,Pediatric Hospital,Zhengzhou 450000,Henan,China;School of Pediatric Medicine,Henan University of Chinese Medicine,Zhengzhou 450046,Henan,China)

机构地区：[1]河南中医药大学第一附属医院儿科医院,河南省郑州市450000 [2]河南中医药大学儿科医学院,河南省郑州市450046

出　　处：《广西医学》2024年第9期1316-1321,共6页Guangxi Medical Journal

基　　金：河南省中原英才计划(育才系列)(豫组通[2021]44号);河南省中医药科学研究专项(2023ZY2012);中医儿科优势病种循证能力提升项目。

摘　　要：“体病相关”理论为中医发病学研究开辟了新的视角,着重强调不同体质类型与某些特定疾病的发生存在密切关联。本文基于“体病相关”之发病学“四说”理论—易感说、从化说、土壤说、胎源说,阐述阳虚体质与小儿肾病综合征的内在联系,以及以“治病求本、本于体质”为原则,以发病学“四说”为理论指导,采用疏风宣肺、健脾补肾、改善体质、调补母体等治则,以期为治疗阳虚体质小儿肾病综合征提供新思路。“Physique-disease association”theory opens up a new perspective for the study of pathogenesis in Traditional Chinese Medicine,emphasizing that there is a close association between different physique types and the occurrence of certain specific diseases.Based on the“four theories”of pathogenesis of“physique-disease association”theory,namely,susceptibility theory,constitutionally influenced transformation theory,soil theory,and fetal origin theory,this paper interprets the intrinsic connection between yang deficiency physique and pediatric nephrotic syndrome.The treatment should be based on the principle of“treating disease from the root,based on the physique”,with the“four theories”of pathogenesis as the theoretical guidance,to employ the therapeutic rules of dispelling wind and ventilating lung,invigorating spleen and kidney,ameliorating physique,and tonifying the mother-body,etc.,so as to providing novel idea for treating yang deficiency physique children with nephrotic syndrome.

关 键 词：肾病综合征 体病相关 阳虚体质 发病学 防治调护 儿童 

分 类 号：R726.9[医药卫生—儿科]