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慢性肾病蛋白尿的辨治思路与方法 被引量:3

Thoughts and Methods of Syndromes Differentiation for the Treatment of Chronic Nephrosis with Proteinuria
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摘要 “蛋白质”是构成人体和维持人体生命活动的基本物质,属于中医学“精”,“精微”等概念。肾脏疾病出现蛋白尿,属于中医学“精气下泄”范畴。脾不摄精、肾不藏精,而精气不固,精微下泄是出现蛋白尿的直接病机;肝失疏泄、肺失布精,也可影响脾肾而出现蛋白尿;湿热、风邪、瘀血等实邪壅阻,精微外泄亦可致蛋白尿。结合病机认识,归纳慢性肾病蛋白尿治疗七法,即健脾益气摄精法、补肾摄精法、治肺摄精法、治肝摄精法、祛风固精法、清热祛湿固精法、活血化瘀固精法,并提出相应的方剂药物。 Protein is a basic material to construct the human body and to maintain life activities. It belongs to the concepts of Jing and essence in traditional Chinese medicine. Nephrosis with proteinuria belongs to the category of discharge of essence qi. The spleen cant control essence, the kidney cant store essence, and the essence being out of control, moving downward and discharging is the direct pathogenesis of the appearance of proteinuria; liver losing its function of spreading essence can also affect the spleen and the kidney, and causes proteinuria; stagnation of sthenia pathogenic factors like damp-heat, wind evil, blood stasis, and out discharging of essence can cause proteinuria as well. Seven methods for the treatment of chronic nephrosis with proteinuria were summarized in this paper, i.e. invigorating spleen and nourishing qi to control essence, nourishing kidney to control essence, treating lung to control essence, treating liver to control essence, dispelling wind to hold essence, cleating away heat and removing dampness to hold essence, activating blood flow and removing blood stasis to hold essence. The prescriptions and drugs were proposed accordingly.
作者 董正华
机构地区 陕西中医学院
出处 《陕西中医学院学报》 2007年第1期8-10,共3页 Journal of Shaanxi College of Traditional Chinese Medicine
关键词 慢性肾病 蛋白尿 中医药治疗 思路与方法 chronic nephrosis proteinuria treated with traditional Chinese medicine thoughts and methods
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