特发性膜性肾病分期辨证论治中医治疗研究进展  

Progress in traditional Chinese medicine treatment of idiopathic membranous nephropathy based on staging,differentiation and treatment

作　　者：于海艳 张守琳[2] 刘美茜 马驷超[2] YU Haiyan;ZHANG Shoulin;LIU Meixi(Changchun University of Traditional Chinese Medicine School of Traditional Chinese Medicine,Jilin,Changchun 130117,China;Department of Nephrology,Affiliated Hospital of Changchun University of Traditional Chinese Medicine,Jilin,Changchun 130021,China)

机构地区：[1]长春中医药大学中医学院,吉林长春130117 [2]长春中医药大学附属医院肾病科,吉林长春130021

出　　处：《四川中医》2025年第2期218-222,共5页Journal of Sichuan of Traditional Chinese Medicine

基　　金：吉林省教育厅科学技术研究项目(编号:JJKH20230968KJ)。

摘　　要：本综述论述了特发性膜性肾病(IMN)的病因病机,肺脾肾功能失调为根本病机,并将IMN从中医角度分期为水肿期(初期)、尿浊期(大量蛋白尿期)及癃闭关格期(肾衰竭期),综述了水肿期应补气利水、活血利水,尿浊期应祛风除湿、补益脾脏、补益肾脏,癃闭关格期注重脾肾双补,兼以活血解毒除湿的中医治疗研究进展,为IMN中医分期治疗提供依据,为临床提供参考。This review discusses the etiology and pathogenesis of idiopathic membranous nephropathy,with dysfunction of lung,spleen and renal function as the fundamental pathogenesis.IMN is divided into edema stage(initial stage),turbidinuria stage(massive proteinuria stage)and Longbi guange stage(renal failure stage)from the perspective of traditional Chinese medicine.It is summarized that in edema stage,supplementing qi and water and promoting blood and water,and in turbidinuria stage,expelling wind and removing dampness,tonifying spleen and kidney.Longbi and Guange period,we focus on supplementing spleen and kidney,and take the research progress of TCM treatment of promoting blood circulation and detoxifying and dehumidification,to provide basis for TCM staging treatment of IMN and provide reference for clinic.

关 键 词：特发性膜性肾病 水肿期 尿浊期 癃闭关格期 利水消肿 补益脾肾 

分 类 号：R256.5[医药卫生—中医内科学]