李顺民运用升麻鳖甲汤治疗狼疮性肾炎经验  

Li Shunmin’s Experience in Treating Lupus Nephritis with Shengma Biejia Decoction

作　　者：彭红诚 刘哲延 卢建东[2] 熊国良[2] 李顺民(指导)[2] PENG Hongcheng;LIU Zheyan;LU Jiandong;XIONG Guoliang;LI Shunmin(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518000,China;Shenzhen Traditional Chinese Medicine Hospital Department of Nephrology,Shenzhen 518000,China)

机构地区：[1]广州中医药大学第四临床医学院,广东深圳518000 [2]深圳市中医院,广东深圳518000

出　　处：《中国中医药图书情报杂志》2024年第6期309-312,共4页Chinese Journal of Library and Information Science for Traditional Chinese Medicine

基　　金：深圳市科创委项目(JCYJ20180507183842516)。

摘　　要：总结李顺民教授运用升麻鳖甲汤治疗狼疮性肾炎的临床经验。李教授认为,狼疮性肾炎以脾肾亏虚为本,多因先天禀赋不足,肾精亏虚,或后天劳倦内伤,气血阴阳失调所致,继而外感毒邪而发病,热、毒、湿、瘀为标。因此,治疗上以健脾益肾、清热解毒、活血利水为法,运用升麻鳖甲汤清透血分之热毒,据其病势,合理化裁,疗效显著,且可减少不良反应,降低复发风险,改善患者预后。This article summarized Professor Li Shunmin’s clinical experience in treating lupus nephritis with Shengma Biejia Decoction.Professor Li believes that the fundamental pathogenesis of the disease is spleen-kidney deficiency.It is usually caused by congenital deficiency,kidney essence deficiency,or acquired fatigue and internal injuries,as well as imbalance of qi,blood,and yin and yang,followed by exogenous pathogens,manifested as heat,toxin,dampness and blood stasis.Therefore,the treatment to invigorate the spleen and kidney,clearing heat and detoxicating,promoting blood circulation and inducing diuresis should be used as treatment methods.Shengma Biejia Decoction can be used to clear the heat toxin of blood according to the disease situation,and the decoction should be modified rationally,with obvious efficacy.Moreover,it can effectively avoid adverse reactions and reduce the risk of recurrence,and improve patient prognosis.

关 键 词：狼疮性肾炎 升麻鳖甲汤 李顺民 名医经验 

分 类 号：R259.932.4[医药卫生—中西医结合]