王祥生治疗慢性肾炎学术经验研究
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摘要
慢性肾炎属中医学"腰痛""水肿"等范畴,临床发病率较高,且近年来呈逐年递增的趋势。王祥生主任医师从医20余载,在研习历代医家治肾学术的基础上,结合自身临床经验,认为慢性肾炎的形成不外乎各种原因所致的脏腑功能亏虚,即乃肺脾肾相干为病,加之湿瘀贯穿其中,及或受到外邪的侵袭,故病机多责之脾肾亏虚、湿浊瘀阻,治疗应以健脾补肾、活血泄浊为则。王祥生主任医师在此治则的基础上结合现代药理研究自拟肾炎方,临证用药时尤重对中药药对的应用,并随证加减,以起到协同增效及或降毒制约的作用。再者因慢性肾炎临床容易反复,与体质、饮食、外邪等关系密切,故多嘱患者好转后不可贸然停药,应随病情变化及时更改服药间隔及剂量,拉长持续服药时间,临床应用每获良效。
Chronic nephritis is in the category of lumbar pain and edema in TCM and the incidence of it is quite high and is increasing in recent years. Prof. Wang Xiangsheng has the clinical experiences for over 20 years. On the basic study on the experiences of ancient physicians for the treatment of kidney disorders,in combination with the clinical experiences,Prof. Wang believes that chronic nephritis is caused by the deficiency of zangfu organs,interaction of liver,spleen and kidney,retention of damp and stasis and invasion of exogenous pathogenic factors. The pathogenesis of it is deficiency of spleen and kidney and retention of damp. The treating principle is strengthening spleen,tonifying kidney,activating blood circulation and removing turbidity. In association with the modern pharmacological study,Prof. Wang prepared the formula especially for nephritis and modified it according to the symptoms. This formula improves the efficacy and reduces the toxicity. Additionally,the body constitution,diet and other factors are also involved in the repetition of chronic nephritis. The patients should take the medicine regularly according to physician's advice so that the satisfactory clinical effect can be achieved.
Chronic nephritis is in the category of lumbar pain and edema in TCM and the incidence of it is quite high and is increasing in recent years. Prof. Wang Xiangsheng has the clinical experiences for over 20 years. On the basic study on the experiences of ancient physicians for the treatment of kidney disorders,in combination with the clinical experiences,Prof. Wang believes that chronic nephritis is caused by the deficiency of zangfu organs,interaction of liver,spleen and kidney,retention of damp and stasis and invasion of exogenous pathogenic factors. The pathogenesis of it is deficiency of spleen and kidney and retention of damp. The treating principle is strengthening spleen,tonifying kidney,activating blood circulation and removing turbidity. In association with the modern pharmacological study,Prof. Wang prepared the formula especially for nephritis and modified it according to the symptoms. This formula improves the efficacy and reduces the toxicity. Additionally,the body constitution,diet and other factors are also involved in the repetition of chronic nephritis. The patients should take the medicine regularly according to physician's advice so that the satisfactory clinical effect can be achieved.
引文
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[3]李绪玲.鹿衔草的药理作用及临床应用研究进展[J].中国医学创新,2010,7(12):185-186.
[4]查益中.大剂量黄芪在慢性肾炎中的应用[J].浙江中医学院学报,1995,19(5):21-22.
[5]薛建欣,严永清,蒋莹.黄芪、归尾、香附、川芎、赤芍等配伍对“血瘀”大鼠血液流变学的影响[J].中国中药杂志,1994,19(2):108-110.
[6]黎同明,王桂香,高洁,等.附子干姜配伍温阳通脉作用的实验研究[J].中药新药与临床药理,2011,22(4):373-375.
[7]郑亚琳.《伤寒论》服药方法理论研究[D].北京:北京中医药大学,2007.