高智应用紫癜宁肾汤论治过敏性紫癜肾炎经验  

Gao Zhi's Experience in Treating Henoch-Schonlein Purpura Nephritis with Zidian Ningshen Decoction

作　　者：张芮崯 高智 ZHANG Ruiyin;GAO Zhi(School of Traditional Chinese Medicine,Hubei University of Chinese Medicine,Wuhan 430000,China;Department of Nephrology,Traditional Chinese Medicine Hospital Affiliated to Hubei University of Chinese Medicine,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430000,China)

机构地区：[1]湖北中医药大学中医学院,湖北武汉430000 [2]湖北中医药大学附属国医医院/武汉市中医医院肾病科,湖北武汉430000

出　　处：《基层中医药》2025年第2期16-20,共5页Basic Traditional Chinese Medicine

摘　　要：过敏性紫癜肾炎(HSPN)是一种因过敏性紫癜(HSP)导致的肾脏损害性疾病,其病程长、易反复发作,发病机制复杂,涉及免疫复合物沉积、炎症反应及细胞因子的参与,给患者的身心健康带来严重影响。高智教授认为,HSPN多以虚为本,兼夹实邪,并自拟紫癜宁肾汤治疗此病,取得了较好的临床疗效。本文总结高智教授应用紫癜宁肾汤论治HSPN的经验,附医案1则,为临床提供新的思路及指导意义。Henoch-Schonlein purpura nephritis(HSPN)is a disease caused by Henoch-Schonlein purpura(HSP)and leading to damage to kidneys,with a long course and tendency to recur.The pathogenesis of HSPN is complex,involving immune complex deposition,inflammation,and cytokines,which seriously affects the physical and mental health of patients.Professor Gao Zhi believes that HSPN is mostly rooted in deficiency with intermixed exogenous pathogenic factors.He has formulated Zidian Ningshen Decoction to treat this disease,which has achieved good clinical efficacy. This paper summarizes Professor Gao Zhi's experience in treating HSPN with Zidian NingshenDecoction and presents a case for clinical reference, providing new ideas and guidance for clinicalpractice.

关 键 词：过敏性紫癜肾炎 紫癜宁肾汤加减 临证经验 病因病机 

分 类 号：R277.5[医药卫生—中医学] R256.5