影响慢性肾小球疾病病程的病理因素

The Main Pathologic Factor of Influencing Pathogenesis of Chronic Renal Glomerular Disease

慢性肾小球肾炎是"本虚标实"之证,以肺、脾、肾三脏亏虚为本,外感、水湿、湿热、瘀血等邪实为标,两者贯穿其中。治疗分别从肺、脾、肾及三焦入手,清热利湿,补脾益肾,扶正祛邪,攻补兼施,辨证论治。水湿内停、湿热蕴结、瘀血留滞是其病发生、发展、迁延难愈的基本病理变化。

Chronic renal glomerular disease is a syndrome of primary deficiency and secondary excess,the principle cause is the asthenia of lung,spleen and kidney,the secondary symptoms are pathogenic factors of water-dampness,dampness-heat and blood stasis. Both asthenia of healthy qi and sthenia of pathogenic factors are in the course of disease.We should set about lung,spleen,kidney and sanjiao to clean heat and eliminate dampness,invigorate spleen and kidney,strengthen vital qi to eliminate pathogenic factor and treat based on syndrome differentiation.The basic pathological change in occurrence,development and protraction of the disease are internal stagnation of fluid-dampness,accumulated dampness-heat and stagnation of blood.