中医药信息2025，Vol.42Issue(5)：45-49,5.DOI:10.19656/j.cnki.1002-2406.20250508
基于邪伏膜原理论从脾胃论治IgA肾病
Treatment of IgA Nephropathy Based on the Theory of"Pathogen Hidden in the Pleurodiaphragmatic Interspace"from the Perspective of Spleen and Stomach
摘要
Abstract
IgA nephropathy is one of the most common primary glomerular diseases,with a higher incidence in Asia.The theory of"Pathogen Hidden in the Pleurodiaphragmatic Interspace"was developed by Ming Dynasty physician Wu Youke,based on the"Pleurodiaphragmatic Interspace"theory in the Huangdi's Internal Classic(Huangdi Neijing).The essence of this theory is that damp-heat and turbid qi are hidden in the pleurodiaphragmatic interspace,which is closely connected to the spleen and stomach.Therefore,this theory can also be understood as the damp-heat and turbid qi being hidden in the spleen and stomach.The pathogenesis of IgA nephropathy is often characterized by a combination of deficiency and excess,with deficiency mainly involving the spleen and kidney,and excess involving the accumulation of dampness,turbid toxins,and other pathogenic factors in the body.Among these,the key pathogenic factor is the stagnation of damp-heat,which commonly originates in the spleen and stomach.Thus,the occurrence of IgA nephropathy is related to the stagnation of damp-heat and turbid pathogen in the spleen and stomach,aligning with the theory of"Pathogen Hidden in the Pleurodiaphragmatic Interspace".This article discusses the correlation between the theory of"Pathogen Hidden in the Pleurodiaphragmatic Interspace"and IgA nephropathy,and proposes a treatment approach focusing on clearing and tonifying the spleen and stomach to address the stagnation of damp-heat.关键词
邪伏膜原理论/脾胃/IgA肾病/中医药Key words
Theory of pathogen hidden in the pleurodiaphragmatic interspace/Spleen and stomach/IgA nephropathy/Traditional Chinese medicine引用本文复制引用
卞芝琳,韩世亮,谢圣芳..基于邪伏膜原理论从脾胃论治IgA肾病[J].中医药信息,2025,42(5):45-49,5.基金项目
国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]1号) （国中医药人教函[2022]1号）
江苏省卫生健康委重点项目(ZD2021042) （ZD2021042）
