裴学义治疗小儿肾病经验撷萃

Experience of PEI Xue-yi in treating children's nephrapiathy

裴学义老中医从事中医临床工作60余年,尤善儿科疾病治疗,尤其在小儿肾病的中医治疗方面有其独特的疗效。他依据小儿脏腑、阴阳、气血虚损特点,提出其病位主要责于肺脾肾三脏,治疗上宜病证相合。根据小儿肾病发生发展的证治规律,制订出了不同时期的治疗方案。初期以祛邪为主,病邪侧重于湿与热;恢复期以扶正为主,注重固护脾肾。临床上将小儿肾病分为水肿期、蛋白尿期、恢复期,分别采用了宣肺健脾利水,清热祛湿、健脾补肾,滋阴固护下焦的治疗方法。

PEI Xue-yi has 60 years, experience in treating pediatric diseases with traditional Chinese medicine, especially obtains good effect in children＇s nephrapiathy. Based on the regulation and characteristics of children＇s zang-fu, yin-yang, blood-qi and children＇s nephrapiathy, he makes different therapeutic plans in different phases. In clinical treatment, he emphasizes the lung, the spleen and the kidney and combines syndrome differentiation with disease diagnosis. Eliminaing pathogens, excessive damp-heat is used in acute phase and strengthening healthy qi, securing the spleen and kidney is used in recovery phase. Children＇s nephrapiathy is treated by three phases as the edema, protein urine and rescovery stage. He adopts the methods of dispersing lung qi and invigorating spleen for diuresis, clearing heat-damp, nourishing spleen and kidney, nourishing yin for protecting lower jiao.