中医药临床杂志2024,Vol.36Issue(6):1064-1067,4.DOI:10.16448/j.cjtcm.2024.0615
试谈分期辨证治疗过敏性紫癜性肾炎
Discussion on the Staged Syndrome Differentiation and Treatment of Allergic Purpura Nephritis
摘要
Abstract
Henoch-Schonlein purpura nephritis is characterized by a deficiency in the root cause and a syndrome in which the root cause is insufficient endowment.Exogenous rheumatism and heat are the symptoms.Blood stasis and heat blocking the collaterals are the key to the disease.Damp-heat damage to the kidneys is an important factor in the progression of the disease.Clinical symptoms are treated in stages.In the early stage,wind-heat fights knots and blood-heat damages the collaterals.Treatment is to dispel wind,clear away heat,and cool the camp to remove blood stasis.In the middle stage,evil Qi gradually recedes,and damp-heat consumes Qi and damages Yin.Deficiency of both Qi and yin is the main cause,the treatment is to replenish Qi and nourish Yin,cleanse and harmonize the collaterals;in the later stage,when the righteousness is deficient and the evil Qi is lingering,the treatment is to nourish the kidney and spleen,remove dampness and release turbidity;at the same time,pay attention to the prevention and adjustment of life.The article mainly introduces the treatment of Henoch-Schonlein purpura nephritis from the aspects of etiology,pathogenesis,stage treatment and typical cases.关键词
过敏性紫癜性肾炎/分期/辨证论治/中医治疗Key words
Henoch-Schonlein purpura nephritis/Staging/Syndrome differentiation and treatment/Traditional Chi-nese medicine treatment分类
医药卫生引用本文复制引用
张弯,肖梅兰,盛梅笑..试谈分期辨证治疗过敏性紫癜性肾炎[J].中医药临床杂志,2024,36(6):1064-1067,4.基金项目
江苏省中医院高峰学术人才项目(No.Y2021rc10) (No.Y2021rc10)