丁樱运用藤类药从络脉瘀阻论治紫癜性肾炎经验

Experience of DING Ying Treating Henoch Schonlein Purpura Nephritis from Theory of Blood-Stasis Blocking Collaterals by Using Rattan Medicines

紫癜性肾炎是儿童阶段最常见的一种继发性肾小球疾病,部分迁延不愈者可发展为终末期肾病,严重危害患儿生命健康。全国首批名中医丁樱教授从事儿科肾脏疾病40余年,围绕紫癜性肾炎的中医方案研究承担了“十一五、十二五”两个国家科技支撑计划课题,对紫癜性肾炎的治疗积累了丰富的经验,认为本病病机关键为络脉瘀阻,故治疗上以舒经通络、活血化瘀为基本原则,而藤类药具有缠绕蔓延、纵横交错之形,似人之络脉遍布全身,能够浅入阳络,深入阴络,驱逐络脉滞留之邪,为通络之佳品,活血之良药,临床应用数载,疗效显著。文章对丁樱教授临床运用藤类药从络脉瘀阻论治紫癜性肾炎经验进行总结,进一步探究了藤类药的用药及用量选择,以期更好地服务于临床。

Henoch Schonlein purpura nephritis is one of the most common secondary glomerular diseases in children.Some patients who do not recover can develop into end-stage renal disease,which seriously endangers the life and health of children.Professor DING Ying,one of the first famous TCM doctors in China,has been engaged in pediatric nephropathy for more than 40 years,and has undertaken two national science and technology support plan projects around the research of purpura nephritis,and has accumulated rich experience in the treatment of Henoch Schonlein purpura nephritis.She thinks that the key to the pathogenesis of the disease is blood-stasis blocking collaterals,so the basic principle of treatment is to relax the meridians and unblock collaterals,and promote blood circulation to remove blood stasis.Rattan medicines have the shape of winding and spreading,crisscrossing,like human collaterals all over the body.It is a good product to open the ligaments and invigorate blood,and has been clinically applied for several years with remarkable efficacy.This article summarizes Professor DING Ying′s experience on treating purpura nephritis from the perspective of blood-stasis blocking collaterals,and further explores the choice of rattan medicines and dosages in order to better serve the clinic.