中国中医药图书情报杂志2024,Vol.48Issue(1):215-218,4.DOI:10.3969/j.issn.2095-5707.202304072
基于"脾肾湿瘀"理论探讨痛风性肾病辨治
Discussion on Differentiation and Treatment of Gouty Nephropathy Based on the Theory of"Dampness and Blood Stasis from Spleen and Kidney Deficiency"
摘要
Abstract
National TCM master Zheng Xin diagnosed and treated gouty nephropathy(GN)with spleen and kidney qi deficiency combined with dampness heat and blood stasis as the main syndrome type,and the core formula was modified Shenqi Dihuang Decoction.Using the method of"differentiating syndromes to identify causes and testing syndromes by formula",it is speculated that"dampness and blood stasis from spleen and kidney deficiency"are the keys to the etiology and pathogenesis of GN in TCM.The roots of GN repeated refractory are thought to be spleen and kidney deficiency,dampness and turbidity internal stagnation,blood stasis endogenous,dampness and blood stasis forming stone,and underlying kidney collateral."Strengthening spleen and kidney,removing dampness and blood stasis"is the basic rule.In clinical practice,invigorating the spleen and kidney,clearing heat and freeing strangury,clearing away dampness and removing stasis are organically combined for staged syndrome differentiation and treatment,with definite curative effect.Here is a summary of Zheng Xin's experience in treating GN,with a medical case attached for the benefit of colleagues.关键词
痛风性肾病/脾肾亏虚/湿瘀内阻/扶脾肾/化湿瘀Key words
gouty nephropathy/spleen and kidney deficiency/dampness and blood stasis/strengthening spleen and kidney/removing dampness and blood stasis分类
医药卫生引用本文复制引用
孙原婷,刘洪,龙梅,李慧慧,余明寰..基于"脾肾湿瘀"理论探讨痛风性肾病辨治[J].中国中医药图书情报杂志,2024,48(1):215-218,4.基金项目
重庆市科研机构绩效激励引导专项(cstc2022 jxjl120037) (cstc2022 jxjl120037)
重庆市自然科学基金(cstc2018jcyjAX0818、cstc2021jcyj-msxmX0759、CSTB2022NSCQ-MSX0999) (cstc2018jcyjAX0818、cstc2021jcyj-msxmX0759、CSTB2022NSCQ-MSX0999)