| 丁晓宇,王曾,潘智蕙,等.基于“风、湿、瘀”理论探讨陈洪宇教授治疗特发性膜性肾病经验[J].浙江中医药大学学报,2022,46(10):1128-1132. |
| 基于“风、湿、瘀”理论探讨陈洪宇教授治疗特发性膜性肾病经验 |
| Professor CHEN Hongyu‘s Experience in Treating Idiopathic Membranous Nephropathy Based on the Theory of “Wind， Dampness and Blood Stasis” |
| DOI：10.16466/j.issn1005-5509.2022.10.013 |
| 中文关键词: 特发性膜性肾病 风、湿、瘀理论 补脾益肾 祛风胜湿 利水通络 活血化瘀 医案 陈洪宇 |
| 英文关键词: idiopathic membranous nephropathy theory of “wind, dampness and blood stasis” nourishing the spleen and the kidney dispelling wind and overcoming dampness inducing diuresis and dredging collaterals promoting blood circulation and removing blood stasis medical cases CHEN Hongyu |
| 基金项目:浙江省陈洪宇名老中医专家传承工作室项目(GZS2021031)；浙江省中医药科技计划项目(2022ZX014) |
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| 中文摘要: |
| [目的] 总结陈洪宇教授基于“风、湿、瘀”理论治疗特发性膜性肾病(idiopathic membranous nephropathy，IMN)的经验。[方法] 通过门诊跟师，从医家认识、病因病机、治则治法、选方用药方面，总结归纳陈师治疗IMN的经验，并列举验案加以佐证。[结果] 陈师认为，IMN属于本虚标实之病，本虚是肺脾肾亏虚，标实是风寒湿邪、瘀血、湿浊、湿热等各种病理因素。陈师尤其重视风、湿、瘀这三个病理因素对IMN发病的影响，并基于IMN的基本病机，提出补脾益肾、祛风胜湿、利水通络、活血化瘀的基本治则，同时指出活血化瘀应贯穿治疗始终。所举验案属于脾肾亏虚、气虚血瘀型IMN，治宜滋补脾肾、祛风通络、益气利水，方选补阳还五汤，随证加减，疗效颇佳。[结论] 陈师临床基于“风、湿、瘀”理论治疗IMN，随证加减用药，疗效明显，其经验具有较高的临床指导意义，可供同道参考。 |
| 英文摘要: |
| [Objective] To summarize Professor CHEN Hongyu‘s experience in treating idiopathic membranous nephropathy(IMN) based on the theory of “wind， dampness and blood stasis”. [Methods] Through following Professor CHEN’s outpatient clinic， this paper summarized Professor CHEN‘s experience in treating IMN from the aspects of doctors‘ views of the past dynasties， etiology and pathogenesis， treatment principles and methods and medication prescriptions， and presented a medical case as proof. [Results] Professor CHEN believes that IMN belongs to the disease of deficiency in origin and excess in superficiality， and deficiency in origin refers to deficiency of lung， spleen and kidney; for the excess in superficiality， the wind-cold-damp pathogen， blood stasis， dampness turbidity， dampness-heat and others are included. Professor CHEN attaches great importance to the three pathological factors of wind， dampness and blood stasis. Based on the pathogenesis， Professor CHEN puts forward the basic treatment principles of nourishing the spleen and the kidney， dispelling wind and overcoming dampness， inducing diuresis and alleviating edema， promoting blood circulation and removing blood stasis. The example mentioned belonged to the spleen and kidney deficiency， Qi deficiency and blood stasis type IMN， the treatment should be carried out by nourishing the spleen and the kidney， dispelling wind and promoting blood circulation， replenishing Qi and inducing diuresis. [Conclusion] Professor CHEN treats IMN based on the theory of “wind， dampness and blood stasis”， and adding and subtracting medication according to the syndrome， the curative effect is obvious， and her experience has high clinical guiding significance and can be used for reference by colleagues. |
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