马进教授清热利湿活血法治疗湿热型慢性肾炎蛋白尿经验总结

发布时间：2018-03-10 09:39

  本文选题：湿热型慢性肾炎　切入点：清热利湿活血法　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】：慢性肾炎是西方医学慢性肾小球肾炎的简称,是一种常见的肾脏内科疾病,祖国医学根据其症状及体征,认为其归属“腰痛”“水肿”范畴,并将其分为五个证型:气虚型、阳虚型、阴虚型、湿热型及瘀血型,其中以湿热型最为常见,常多因劳累、外感等因素复发或加重,病情变化多端,病程迁延难愈,给病患带来极大的身体及心理负担。马进老师经过多年临床实践,对湿热型慢性肾炎的发生、发展与治疗方法均提出了自己的观点:老师认为内在、外在等多种复杂因素交错作用导致肺、脾、肾三脏阴阳失衡为本病发病和病程迁延的内在基础,而湿热之邪不仅是本病发生的病理因素,又是病程迁延难愈的重要致病因素,贯穿病程始终,证属本虚标实;治疗上提出在平衡肺、脾、肾三脏阴阳基础上,以清热利湿活血为治疗大法的思想,标本兼治,固利兼施。针对湿热型慢性肾炎不同的诱发因素,考虑患者不同的病程差异,根据患者病情不同的轻重程度,区别患者不同的生活习惯,巧妙的运用中医整体观念、辨证论治思想,平衡脏腑阴阳以扶正固本,促进病情恢复及减少复发,清热利湿活血以祛除湿热之邪及其所产生的“瘀”,兼之固摄之剂以酸涩敛精,临床疗效显著。
[Abstract]:Chronic glomerulonephritis is the abbreviation of chronic glomerulonephritis in western medicine, and it is a common medical disease of kidney. According to its symptoms and signs, Chinese medicine considers it to belong to the category of "low back pain" and "edema" and divides it into five syndromes: deficiency of qi. Yang deficiency type, yin deficiency type, damp-heat type and blood stasis type, in which damp-heat type is the most common type. After many years of clinical practice, teacher Ma Jin put forward his own views on the occurrence, development and treatment of chronic nephritis of damp-heat type. The imbalance of yin and yang of lung, spleen and kidney caused by complex factors such as external factors is the internal basis of the pathogenesis and duration of the disease. The evil of dampness and heat is not only the pathological factor of the disease, but also the important pathogenic factor of the course of disease which is difficult to heal. Throughout the course of the disease, the syndromes belong to the original deficiency and the solid. On the basis of balancing the lung, spleen, kidney, yin and yang, the idea of clearing heat, promoting dampness and activating blood circulation is proposed to treat both the symptoms and the symptoms. According to the different inducing factors of damp-heat chronic glomerulonephritis, considering the different course of disease of the patients, according to the different degree of severity of the patients' condition, distinguishing the different living habits of the patients, skillfully using the whole concept of traditional Chinese medicine. The thought of syndrome differentiation and treatment, the balance of zang-fu organs, yin and yang to strengthen the essence, to promote the recovery of the disease and to reduce the recurrence, to clear heat and dampness and activate blood circulation to remove the evil of dampness and heat and its "blood stasis", and to consolidate the essence with acerbity and astringency, the clinical curative effect is remarkable.
【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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本文编号：1592778