赵刚教授论治尿酸性肾病的经验总结

发布时间：2018-05-23 23:55

  本文选题：尿酸性肾病 + 痛风性肾病　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：尿酸性肾病,又称痛风性肾病,是由于体内嘌呤代谢异常,导致血尿酸水平升高或血尿酸排泄减少,尿酸盐在关节周围和肾间质部位沉积,引发的一系列临床综合症。临床主要表现为尿酸结石、血尿、蛋白尿、浮肿,或伴有腰膝酸痛、小便清长、夜尿频多,或贫血,并常伴有关节疼痛、活动受限等症状。中国古代医家对本病并无精确的记载,但根据其症状表现及病症特点,归属中医“痹症”、“淋证”、“腰痛”、“虚劳”等范围。现代中医对于本病没有统一的诊断标准、疗效评定标准,临床工作者仅根据自身的实践经验,对本病进行辨证论治,且取得较好的临床疗效。吾师赵刚教授临床实践近三十年,在本病的治疗方面累积了渊博的经验。导师认为本病多因先天禀赋不足或久病体弱,脾肾亏虚,脾失健运,肾蒸腾气化功能失司,水液代谢失常,湿浊毒邪内蕴,加之平素饮食失调、七情劳倦内伤,酿生湿热,易感受风、寒、湿邪,外邪侵犯肌体、经络,寒郁化热,酿湿成痰,流窜肢节,阻滞经络,累及肾络而致,属本虚标实、虚实夹杂之证。吾师依据病情的轻重缓急和严重程度,对本病采用分期论治(急性发作期和稳定期)的方法,并对各期辩证分型论治,同时重视患者平素饮食、起居、情志对疾病的影响,取得了良好的疗效。
[Abstract]:Uric acid nephropathy, also known as gouty nephropathy, is a series of clinical syndrome caused by the abnormal metabolism of purine metabolism in the body, resulting in the increase of blood uric acid level or the decrease of blood uric acid excretion, and the deposition of uric acid around the joints and renal interstitium. The clinical manifestations are uric acid stone, hematuria, proteinuria, swelling, or with low back and knee pain, and the clear urine and fecal pain. The night urine frequency is more frequent, or anemia, and often accompanied by joint pain, limited activity and other symptoms. Chinese ancient doctors have no accurate records of this disease, but according to their symptoms and symptoms, belong to "arthralgia syndrome", "drenching syndrome", "low back pain", "deficiency" and so on. There is no unified diagnostic criteria and evaluation of curative effect in the present generation of Chinese medicine. According to their own practical experience, clinical workers are only treated with syndrome differentiation and treatment in accordance with their own practical experience. The clinical practice of Professor Zhao Gang, a teacher, has accumulated profound experience in the treatment of this disease for nearly thirty years. The vaporization function loses the division, the water metabolism disorder, the wet turbidity and toxic internal connotations, combined with the flat diet disorder, the seven emotional fatigue internal injuries, the moisture and heat, the cold, the damp evil, the external evil invading the body, the meridians, the cold and the heat, the dampness and the phlegm, the blockage of the meridians, the obstruction of the meridians and the kidney collaterals. It belongs to the deficiency of the standard, the deficiency and the real inclusion of the syndrome. Our teacher is based on the severity of the disease. My teacher is based on the severity of the disease. In order of urgency and severity, the method of staging (acute attack and stable period) was adopted in the disease, and the dialectical classification was treated in each period, and the effect of the patient's diet, living and emotion on the disease had been obtained.
【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：1926890