汤一新教授从脾论治气阴两虚型过敏性紫癜性肾炎经验  

Professor Tang Yixin's Experience in Treating Henoch Schonlein Purpura Nephritis with Deficiency of Qi and Yin from Spleen

作　　者：刘斌[1] 徐小梅 程梁英 LIU Bin;XU Xiao-mei;CHENG Liang-ying(Department of Nephrology,Leshan Hospital of traditional Chinese medicine,Leshan Sichuan 614000,China)

机构地区：[1]乐山市中医医院肾病科,四川乐山614000

出　　处：《中华养生保健》2024年第21期172-175,共4页CHINESE HEALTH CARE

基　　金：四川省中医药管理局(2022CP6736)。

摘　　要：西医治疗过敏性紫癜性肾炎主要以调节免疫、减少尿蛋白、抗炎、抗血小板及血液净化等为主,单纯西医治疗效果欠佳,且长期应用药物副作用较大。中医认为风热毒邪为主要病因,以热、虚、瘀、风、湿、毒为主要病机,治以活血化瘀、疏风清热、凉血泄毒、补肾凉血等。汤一新教授从脾论治,对以血尿、水肿为主要表现,证属气阴两虚的过敏性紫癜肾炎患者,治以甘淡实脾,滋阴利水,在加减益脾汤基础上随证施治,临床上亦取得良好效果。Western medicine clinically mainly uses immune regulation,urinary protein reduction,anti-inflammatory,anti-platelet and blood purification as the main treatment methods,but Western medicine alone has a poor therapeutic effect,and long-term use of drugs has relatively large side effects.In traditional Chinese medicine,wind-heat toxins are the cause of pathogenic factors.The body has heat,viscera deficiency,damp-heat content,spleen and kidney deficiency,blood stasis blocking the collaterals;mainly heat,deficiency,blood stasis,wind,dampness,and poison.For pathogenesis,traditional Chinese medicine focuses on promoting blood circulation to remove blood stasis,dispersing wind and heat,cooling blood and removing toxins,and replenishing kidney and cooling blood.Professor Tang Yixin treats from the spleen and treats patients with allergic purpura nephritis with hematuria and edema as the main manifestations of Qi and Yin deficiency.The treatment is based on the method of sweetening the spleen,nourishing yin and distilling water,and adding and reducing the spleen soup.The treatment has also achieved good clinical results.

关 键 词：过敏性紫癜性肾炎 气阴两虚 从脾论治 

分 类 号：R25[医药卫生—中医内科学]