摘要
膜性肾病是一种以肾小球基底膜上皮细胞下免疫复合物沉积伴基底膜弥漫增厚为特征的疾病。中医认为,膜性肾病,病位在肝脾肾三脏,发病的病因病机为肝脾肾亏虚、风邪入肾,湿热内扰、肾络癥瘕形成等,膜性肾病患者因症状反复,迁延不愈,多出现情志抑郁不舒,肝气疏泄失常,使病情更加缠绵难愈。调畅气机,疏解患者情绪,在膜性肾病的治疗中显得尤为重要。在对膜性肾病中医病因病机和辨证论治的基础上,通过典型病案着重探讨导师采用疏肝解郁,调畅情志法治疗膜性肾病的临床体会。
Membrane nephropathy (MN) is a disease characterized by the deposition of glomerular basement membrane epithelial immune complexes with diffuse thickening of the basement membrane. Chinese medicine holds that membranous nephropathy is in the liver, spleen and kidney, and the pathogenesis of it is liver and spleen and kidney deficiency, wind evil into the kidney, dampness and internal disturbance, collateral necrosis formation, etc. MN patients due to symptoms repeatedly, prolonged unhealed, and more emotional depression and discomfort, liver qi dysfunction, making the disease more lingering and difficult to heal. Smoothing the air machine and relieving the patient^ emotions is particularly important in the treatment of MN. On the basis of the discussion on the etiology and pathogenesis of MN Chinese medicine and syndrome differentiation, the clinical experience of the treatment of MN from tempering emotions and dispersing stagnated liver qi for relieving qi stagnation is mainly discussed through typical medical records.
作者
王苗苗
安海燕
安晓娜
丁昕宇
陆黎黎
陈莉
WANG Miaomiao;AN Haiyan;AN Xiaona;DING Xinyu;LU Lili;CHEN Li(Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100029, China)
出处
《长春中医药大学学报》
2019年第5期831-834,共4页
Journal of Changchun University of Chinese Medicine
基金
北京中医药大学东方医院青年教师项目(2019-JYB-JS-090)
关键词
膜性肾病
疏肝解郁
病因病机
辨证论治
membranous nephropathy
dispersing stagnated liver qi for relieving qi stagnation
etiology and pathogenesis
treatment based on syndrome differentiation
