基于“伏寒化温”理论浅谈隐匿性肾小球肾炎的诊治  

Discussion on the Diagnosis and Treatment of Latent Glomerulonephritis Based on the Theory of “Cooling Cold and Warming up”

作　　者：陈政谊 赵甜甜 张紫晗 栾仲秋[3] 

机构地区：[1]黑龙江中医药大学研究生院,黑龙江 哈尔滨 [2]辽宁中医药大学杏林学院中西医临床系,辽宁 沈阳 [3]黑龙江中医药大学附属第一医院,黑龙江 哈尔滨

出　　处：《中医学》2024年第7期1605-1609,共5页Traditional Chinese Medicine

摘　　要：隐匿性肾小球肾炎,因其起病隐匿,几乎无明显临床表现或仅在体检时被发现,又称无症状性血尿/或蛋白尿。本文从“伏寒化温”理论出发,论述了其思想源流,以及隐匿性肾小球肾炎的中医病机与“伏寒化温”思想的关系,提出以宣透伏邪、凉血行瘀为治疗原则,以荆防败毒散加减治疗,验之临床,疗效显著,为其治疗探索了一种可行性的思路和治疗方法。Latent glomerulonephritis, due to its insidious onset, almost no obvious clinical manifestations, or only detected during physical examinations, is also known as asymptomatic hematuria or proteinuria. This article starts from the theory of “cooling cold and warming up”, and discusses its ideological origins, as well as the relationship between the TCM pathogenesis of latent glomerulonephritis and the concept of “cooling cold and warming up”. It proposes that the treatment principle should be based on promoting the penetration of pathogenic factors, cooling blood and promoting blood stasis, and using modified Jingfang Baidu San to treat it. The clinical experience has shown significant therapeutic effects, exploring a feasible approach and treatment method for its treatment.

关 键 词：隐匿性肾炎 “伏寒化温” 宣透伏邪 凉血行瘀 荆防败毒散 

分 类 号：R69[医药卫生—泌尿科学]