摘要
在临床上肾系疾病中常见湿热为患,阐述湿热之邪在肾系疾病发生发展中的作用,搜集了肾系疾病中淋证以及肾劳两则辨证当属湿热证的案例进行验证。在临床治疗肾系疾病时,应重视湿热之邪,并须分清虚实。导师冯松杰教授合用连朴饮、五苓散两方治疗肾系诸病属湿热症者,通过中医辨证论治及相应治则治法,临床治疗效果良好,为临床辨证提供思路。
Damp-heat syndrome is common in clinical kidney disease, the role of damp-heat syndrome in the development of kidney diseases is described. Kidney diseases included stranguria and kidney overstrain were collected syndrome diff erentiation to treat belongs to damp-heat syndrome for verification. In the clinical treatment of renal diseases, attention should be paid to the damp-heat syndrome and distinguish between deficiency and excess. Professor FENG Songjie used Lianpu Yin and Wuling San in the treatment of dampness-heat of renal diseases in clinical. Treatment based on TCM syndrome diff erentiation and corresponding treatment principles and the eff ect of clinical treatment is good, which provides a way of thinking for clinical diff erentiation.
引文
[1]李小会,谢桂权.原发性肾小球疾病与湿热证[J].辽宁中医杂志, 2010, 37(4):638-639.
[2]商俊芳,刘宝厚.刘宝厚从湿热论治肾脏病经验[J].山西中医,2015, 31(6):6-7.
[3]张再康,杨霓芝,冯瑞雪,等.浅析慢性肾病湿热蕴结病因病机的演变规[J].新中医, 2007, 39(11):3-4.
[4]李小会,谢桂权.肾病湿热证的现代研究进展[J].陕西中医学院学报, 2011, 34(2):84-85.
[5]赵丽.从湿热论治肾病探析[J].国医论坛, 2015, 30(5):16-17.
[6]刘善军.从湿热论治慢性肾炎蛋白尿[J].山东中医杂志,2010, 29(2):103-104.
[7]孙伟,曾安平,严志林,等.湿热病邪与慢性肾病关系探讨一附152例临床资料分析[J].中医研究, 2000, 13(1):36-37.
[8]付春梅,皮持衡,傅建萍,等.论湿浊与慢性肾脏病[J].北京中医药大学学报, 2014(10):664-666.
[9]魏明刚,周栋,高坤,等.慢性肾脏病的基本病机探讨和益肾清利和络泻浊法应用的分析[J].辽宁中医杂志, 2010,37(4):642-644.
[10]余江毅,熊宁宁,余承惠,等.肾病湿热病理的临床分析和实验研究[J].中国中西医结合杂志, 1992(8):458-460
[11]袁艳娟.益肾清利法治疗老年慢性泌尿系感染30例[J].实用中医内科杂志, 2010, 10(9):36-37.
[12]朱辟疆,韦先进,江丽萍,等.慢性肾小球疾病尿细胞因子改变及其与中医证型的关系[J].现代中西医结合杂志2005, 14(1):20.
[13]陆军,周易谦,崔爱东.成人原发性肾病综合征的中医辨证与病理类型的关系[J].实用中西医结合杂志, 1998,11(10):863.
[14]宋素花.工氏连朴饮的临床研究概况[J].福建中医药,2002, 33(2):45.
[15]谭正玉,刘文武,马小兵,五苓散治疗肾性水肿30例临床观察[J].实用中医内科杂志, 2014, 28(7):34-35.