活血化瘀法治疗过敏性紫癜肾炎探讨
|
摘要
对过敏性紫癜性肾炎的发病机制及治法进行探讨,认为瘀血内阻是紫癜性肾炎发病的重要病机。瘀血既是多种因素作用的结果,又是新的致病因素,活血化瘀法是治疗紫癜性肾炎的主要治法。临证时应根据病情程度及兼挟证候的不同,分别采取清热活血、祛湿活血、益气活血、补肾活血四种具体治法,审证求因,审因论治,从而切中临床实际,提高疗效。
To discuss the pathogenic mechanism and therapy of Henoch-Schonlein purpura nephritis( HSPN). Blood stasis is considered as important pathological mechanism of HSPN pathogenesis,which is both a result due to many factors,but also a new pathogenic factors. The activating blood removing stasis is the main method for treating HSPN. The treatment should be identificating etiologys according to different symptoms,then treating according different etiologys. According to severity of disease as well as concurrent different syndromes,four following methods,i. e. clearing heat activating blood,eliminating dampness activating blood,benefiting qi activating blood,reinforcing kidney activating blood can be used respectively,so as to target the clinical practices and enhance the effects.
To discuss the pathogenic mechanism and therapy of Henoch-Schonlein purpura nephritis( HSPN). Blood stasis is considered as important pathological mechanism of HSPN pathogenesis,which is both a result due to many factors,but also a new pathogenic factors. The activating blood removing stasis is the main method for treating HSPN. The treatment should be identificating etiologys according to different symptoms,then treating according different etiologys. According to severity of disease as well as concurrent different syndromes,four following methods,i. e. clearing heat activating blood,eliminating dampness activating blood,benefiting qi activating blood,reinforcing kidney activating blood can be used respectively,so as to target the clinical practices and enhance the effects.
引文
[1]王海燕.肾脏病学[M].北京:人民卫生出版社,2013:1 379-1 380.
[2]蔡维艳,周广玉,柳雪梅.过敏性紫癜患儿血管内皮细胞损伤及凝血功能变化的临床意义[J].中国小儿急救医学,2010,17(5):410-412.
[3]刘钧菲,王华.过敏性紫癜患儿抗凝纤溶系统标志物的动态变化[J].临床儿科杂志,2012,30(6):547-551.
[4]张爱莉,毛继芳,秦美华.儿童过敏性紫癜性肾炎的临床及病理分析[J].中国临床实用医学,2010,4(1):131-132.
[5]杨暘,邢建月,王世荣.凉血散血法治疗过敏性紫癜性肾炎临床研究[J].光明中医,2015,30(7):1 416-1 419.
[6]张雅凤,林忠嗣,郭振武.血尿汤治疗小儿过敏性紫癜性肾炎(血尿型)临床观察[J].新中医,2014,46(12):127-129.
[7]石琳.益气活血法治疗紫癜性肾炎临床观察[J].医药论坛杂志,2015,36(4):173-174.
[8]王晓民,史耀勋,田谧.补肾化瘀止血汤治疗过敏性紫癜性肾炎39例疗效观察[J].中国中医急症,2008,17(6):758-759.
[2]蔡维艳,周广玉,柳雪梅.过敏性紫癜患儿血管内皮细胞损伤及凝血功能变化的临床意义[J].中国小儿急救医学,2010,17(5):410-412.
[3]刘钧菲,王华.过敏性紫癜患儿抗凝纤溶系统标志物的动态变化[J].临床儿科杂志,2012,30(6):547-551.
[4]张爱莉,毛继芳,秦美华.儿童过敏性紫癜性肾炎的临床及病理分析[J].中国临床实用医学,2010,4(1):131-132.
[5]杨暘,邢建月,王世荣.凉血散血法治疗过敏性紫癜性肾炎临床研究[J].光明中医,2015,30(7):1 416-1 419.
[6]张雅凤,林忠嗣,郭振武.血尿汤治疗小儿过敏性紫癜性肾炎(血尿型)临床观察[J].新中医,2014,46(12):127-129.
[7]石琳.益气活血法治疗紫癜性肾炎临床观察[J].医药论坛杂志,2015,36(4):173-174.
[8]王晓民,史耀勋,田谧.补肾化瘀止血汤治疗过敏性紫癜性肾炎39例疗效观察[J].中国中医急症,2008,17(6):758-759.