北京中医药大学学报2024，Vol.47Issue(4)：478-484,7.DOI:10.3969/j.issn.1006-2157.2024.04.006
运用风药特性论治膜性肾病
Using the therapeutic properties of wind herbs to treat membranous nephropathy
摘要
Abstract
We summarize our clinical experience with the use of wind herbs for membranous nephropathy treatment.The pathology of membranous nephropathy is mainly based on the spleen and kidney,with wind pathogen,dampness-heat,and blood stasis as the main pathological factors.The imbalance of the spleen ascending clear and kidney-transforming qi is the fundamental pathogenesis of membranous nephropathy.Wind herbs are light and gentle in nature,and they can dispel wind,assist in raising the spleen yang,aid in kidney qi transformation,and promote the unblocking of qi and blood stasis.This corresponds to the pathogenesis of membranous nephropathy,which involves wind invasion,deficiency of the spleen and kidney,failure to ascend clear yang,and stagnation of qi and blood.In the clinical treatment of membranous nephropathy,the use of wind herbs such as ephedra,cassia twig,mulberry leaf,chrysanthemum flower,and other herbs,along with blood-activating and collateral-opening herbs such as incised notopterygium rhizome and root,rhizome ligustici,zedoray rhizome,and pangolin scales,is proposed.Chinese thorowax root,largetrifoliolious bugbane rhizome,divaricate saposhnikovia,incised notopterygium rhizome and root,and other pungent herbs combined with ginseng,membranous milkvetch root,and other sweet-tonifying herbs can tonify yang and benefit the spleen,enhancing the tonifying effect.Ephedra,cassia twig,fresh ginger,prepared common monkshood branched root,manchurian wildginger,and other pungent-warm herbs can warm the kidney,support yang,and promote qi transformation and water metabolism.In clinical treatment of membranous nephropathy,satisfactory result have been achieved by making use of the characteristics of wind herbs.关键词
风药/膜性肾病/祛风解表/祛湿化痰/活血化瘀Key words
wind herbs/membranous nephropathy/expelling wind to relieve superficies/eliminating dampness and resolving phlegm/promoting blood circulation and removing blood stasis分类
医药卫生引用本文复制引用
曹博宁,王珍..运用风药特性论治膜性肾病[J].北京中医药大学学报,2024,47(4):478-484,7.基金项目
国家自然科学基金项目(No.82174342) （No.82174342）
国家中医药管理局中医药传承与创新"百千万"人才工程项目 National Natural Science Foundation of China(No.82174342) （No.82174342）
