彭培初辨治IgA肾病经验探析
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摘要
介绍彭培初教授对IgA肾病病因病机的认识和辨证论治的经验。IgA肾病的病机为中气不足、清升浊降失司,三焦疏调失职,风邪外袭、水湿内生,瘀血阻络;制订补中益气、升清降浊,疏调三焦,祛风逐水,活血通络四大治疗方法。并附验案1则。
This paper introduces Prof. Peng's experience in differentiating and treating IgA nephropathy. The pathogenesis of IgA nephropathy are deficiency of middle-qi,clear Qi can not rise and turbid Qi can not fall,dysfunction of triple Jiao,pathogenic wind,moisture generated internally and blood stasis. Four therapeutic methods of strengthening middle energizer to nourish qi,ascending lucidity and descending turbidity,regulating triple-Jiao,eliminating wind and dispelling water are applied and one proven case is presented.
This paper introduces Prof. Peng's experience in differentiating and treating IgA nephropathy. The pathogenesis of IgA nephropathy are deficiency of middle-qi,clear Qi can not rise and turbid Qi can not fall,dysfunction of triple Jiao,pathogenic wind,moisture generated internally and blood stasis. Four therapeutic methods of strengthening middle energizer to nourish qi,ascending lucidity and descending turbidity,regulating triple-Jiao,eliminating wind and dispelling water are applied and one proven case is presented.
引文
[1]聂莉芳,于大君,余仁欢,等.308例IgA肾病中医证候分布多中心前瞻性研究[J].北京中医药大学学报,2005,28(4):66-68.
[2]陈香美,陈以平,谌贻璞,等.286例IgA肾病中医辨证与肾脏病理关系的多中心前瞻性研究[J].中国中西医结合杂志,2004,24(2):101-105.
[3]刘永芳,王水华,陈帮明,等.152例IgA肾病中医体质类型与肾脏病理特征研究[J].辽宁中医药杂志,2013,40(1):15-17.
[4]缪建霞,陈洪宇.从文献分析IgA肾病南北方中医证型构成及分布规律[J].中国中西医结合肾病杂志,2014,11(15):980-982.
[5]中华中医药学会肾病分会.IgA肾病的诊断、辨证分型和疗效评定(试行方案)[J].上海中医药杂志,2007,41(5):9-10.
[6]中国中西医结合学会肾脏疾病专业委员会.IgA肾病西医诊断和中医辨证分型的实践指南[J].中国中西医结合杂志,2013,33(5):583-585.
[7]林佳如,樊均明.IgA肾病的中医研究进展[J].西部医学,2013,25(2):317-318.
[8]杨艳光,汪国翔,黄国东.IgA肾病中医诊治研究进展分析[J].内科,2012,7(5):94-96.
[9]郑平东.IgA肾病辨证论治经验与体会[J].上海中医药杂志,2006,40(4):9-10.
[10]于卓,李莲花,于梅,等.张琪教授辨证治疗IgA肾病血尿[J].实用中医内科杂志,2012,26(2):12-13.
[11]马鸿斌.刘宝厚教授治疗IgA肾病血尿的经验[J].中医研究,2007,20(9):50-51.
[12]Barratt J,Feehally J.IgA nephropathy[J].J Am Soc Nephrol,2005,16(7):2088-2097.
[13]须冰,卢嫣,刘育军,等.黏膜方治疗IgA肾病的临床研究[J].上海中医药杂志,2009,43(10):17-23.
[14]王怡.彭培初教授应用黏膜方治疗慢性肾炎验案三则[J].中医药学报,2008,36(5):41-42.
[15]卢嫣,岑洁,王怡.黏膜方对IgA肾病小鼠免疫学机制的影响[J].中国中西医结合肾病杂志,2009,10(3):207-210.
[2]陈香美,陈以平,谌贻璞,等.286例IgA肾病中医辨证与肾脏病理关系的多中心前瞻性研究[J].中国中西医结合杂志,2004,24(2):101-105.
[3]刘永芳,王水华,陈帮明,等.152例IgA肾病中医体质类型与肾脏病理特征研究[J].辽宁中医药杂志,2013,40(1):15-17.
[4]缪建霞,陈洪宇.从文献分析IgA肾病南北方中医证型构成及分布规律[J].中国中西医结合肾病杂志,2014,11(15):980-982.
[5]中华中医药学会肾病分会.IgA肾病的诊断、辨证分型和疗效评定(试行方案)[J].上海中医药杂志,2007,41(5):9-10.
[6]中国中西医结合学会肾脏疾病专业委员会.IgA肾病西医诊断和中医辨证分型的实践指南[J].中国中西医结合杂志,2013,33(5):583-585.
[7]林佳如,樊均明.IgA肾病的中医研究进展[J].西部医学,2013,25(2):317-318.
[8]杨艳光,汪国翔,黄国东.IgA肾病中医诊治研究进展分析[J].内科,2012,7(5):94-96.
[9]郑平东.IgA肾病辨证论治经验与体会[J].上海中医药杂志,2006,40(4):9-10.
[10]于卓,李莲花,于梅,等.张琪教授辨证治疗IgA肾病血尿[J].实用中医内科杂志,2012,26(2):12-13.
[11]马鸿斌.刘宝厚教授治疗IgA肾病血尿的经验[J].中医研究,2007,20(9):50-51.
[12]Barratt J,Feehally J.IgA nephropathy[J].J Am Soc Nephrol,2005,16(7):2088-2097.
[13]须冰,卢嫣,刘育军,等.黏膜方治疗IgA肾病的临床研究[J].上海中医药杂志,2009,43(10):17-23.
[14]王怡.彭培初教授应用黏膜方治疗慢性肾炎验案三则[J].中医药学报,2008,36(5):41-42.
[15]卢嫣,岑洁,王怡.黏膜方对IgA肾病小鼠免疫学机制的影响[J].中国中西医结合肾病杂志,2009,10(3):207-210.