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原发性慢性肾小球疾病肾脏病理、生化指标与气阴两虚证相关性研究概况 被引量:6

Research Progress of Renal Pathology, Biochemical Index and Deficiency of Both Qi and Yin in the Primary Chronic Glomerular Disease
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摘要 气阴两虚证是原发性慢性肾小球疾病最常见的中医证型。论文综述了近十年有关原发性慢性肾小球疾病肾脏病理类型、生化指标与气阴两虚证相关性的中医临床研究,包括病因病机、与气阴两虚证关系密切的三种病理类型(Ig A肾病、系膜增生性肾小球肾炎、特发性膜性肾病)和生化指标(蛋白尿、血尿、低蛋白血症等),以及治法方药。本病病机为感受外邪或久病不愈,而出现的蛋白尿、血尿、水肿等症状;中医治则以益气养阴为法,方药以经方、验方为主。将中医的宏观辨证和西医的微观分析结合起来,为临床上达到异病同证同治提供新的思路。 Deficiency of both Qi and yin is the most common of syndrome types of traditional Chinese medicine in the primary chronic glomerular disease. This article gave some discussion in the fields of correlation between the renal pathology of primary chronic glomerular disease and deficiency of both Qi and yin in the clinical research of TCM in the latest decade. It includes etiological factors and pathogenesis, three pathological types(IgAN, MsPGN, IMN) and biochemical indexes(proteinuria, hematuria, hypoproteinemia) closely relation with deficiency of both qi and yin and therapeutic methods and recipes of TCM. The main pathogenesis of primary chronic glomerular disease is external evil or long time disease, and it causes the symptom of proteinuria, hematuria and edema. The therapeutic principle of TCM is base on supplementing Qi and nourishing yin, and the treatment is classical prescription and proved recipe. Combining the macroscopic syndrome differentiation of TCM and the microscopic analysis of Western medicine, we can provide new ideas for the same clinical treatment of the same syndrome and the difference disease.
作者 甘兰岚 谭海丽 周少婷 黄国东 GAN Lanlan1,TAN Haili1,ZHOU Shaoting1,HUANG Guodong2(1. Guangxi University of Chinese Medicine, Guangxi Nanning 530001, China ;2. Guangxi International Zhuang Medicine Hospital, Guangxi Nanning 530001, Chin)
出处 《中医药临床杂志》 2018年第4期768-771,共4页 Clinical Journal of Traditional Chinese Medicine
关键词 原发性慢性肾小球疾病 肾脏病理 生化指标 气阴两虚证 Primary chronic gglomerular disease Renal pathology Biochemical Indexes Deficiency of both Qi and yin
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