远方教授从脏腑辨证论治慢性肾小球肾炎经验

发布时间：2018-01-01 20:37

本文关键词：远方教授从脏腑辨证论治慢性肾小球肾炎经验　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：慢性肾小球肾炎是一种临床常见的慢性肾脏病,临床表现以蛋白尿、水肿、血尿以及高血压为主,部分患者也可伴有肾功能的损害,其起病缓慢,病势缠绵,且预后较差,根据目前国内外的研究进展,尚无让人很满意的防治措施,然中医针对慢性肾小球肾炎的病因病机治疗,罕有副作用且疗效显著。慢性肾小球肾炎是现代医学的名词,而在我国传统医学中,亦有类似的病证,中医称之为“肾风”、“水肿”、“腰痛”、“风水”等,无论是在临床表现或是体征上都与慢性肾小球肾炎相吻合,这些记载同样对现代医家对于慢性肾炎的病因病机的辨证具有一定的指导作用。吾有幸从师临床三载,随师认识了慢性肾小球肾炎的病因病机,以及对慢性肾小球肾炎的辨证思路和中医药治法经验。吾师认为,慢性肾炎其病因病机复杂多样,病因可归纳为外邪侵袭、饮食不节、劳倦内伤或邪毒内蕴所导致的各脏腑的功能失调,或气血阴阳的失衡。慢性肾小球肾炎的发病主要责之于肾,与肺、脾两脏关系极为密切,是以肺、脾、肾三脏为本病的基础,然肝与心对慢性肾小球的发病亦或是进展,同样是存在一定的影响,临证需辨明患者病机,从脾肾亏虚、肺肾气虚、肝肾阴虚、肾气阴两虚以及心气不足证入手,施以补脾益肾、补肺固表益气补肾、滋补肝肾、滋阴益气补肾以及益气养心的治疗大法,在临床疗效可观。
[Abstract]:Chronic glomerulonephritis is a common clinical chronic kidney disease, the clinical manifestations of edema, proteinuria, hematuria, hypertension, some patients also may be associated with renal damage, its slow onset, lingering illness, and poor prognosis, according to the current research progress at home and abroad, there is no people very satisfactory prevention measures however, traditional Chinese medicine for chronic glomerulonephritis pathogenesis treatment, rare side effect and obvious curative effect. The chronic glomerulonephritis is a noun of the modern medicine and traditional medicine in China, also have similar diseases, Chinese medicine called "kidney wind", "edema", "pain", "Feng Shui" etc., whether in clinical manifestations or signs with chronic glomerulonephritis is consistent, these records also on modern medicine for chronic nephritis pathogenesis differentiation has a guiding role. We have studied for three years with clinical. Teachers understand the etiology and pathogenesis of chronic glomerulonephritis, chronic glomerulonephritis and the dialectical thinking and experience of Chinese medicine treatment of chronic nephritis. She believes that its pathogenesis is complicated, causes can be summarized as evil, improper diet, Laojuan internal injuries or Xiedu connotation of the viscera caused by dysfunction. The imbalance of yin and Yang Qi. The incidence or main responsibility of chronic glomerulonephritis in kidney, lung and spleen two dirty, the relationship is very close, with lung, spleen, kidney three dirty as the foundation of this disease, but liver and heart of chronic glomerular onset or development, also has the certain influence to identify patients with clinical, pathogenesis, from the deficiency of spleen and kidney, lung and kidney qi deficiency, kidney yin deficiency, kidney yin deficiency and Qi deficiency of two, with Invigorating the kidney and spleen, lungssolid table kidney qi, nourishing liver and kidney, nourishing yin and invigorating kidney Yiqi Yangxin treatment, in clinical The curative effect is considerable.

【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R277.5

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