慢性肾小球肾炎血尿的中医治疗研究进展

Progress of Chinese medicine treatment to chronic glomerular nephritis hematuria

本文综述了近十年有关慢性肾小球肾炎血尿的中医临床研究,包括病因病机及治法方药。本病病因病机多为人体感受热邪导致邪热灼伤脉络,肝、脾、肾等脏腑之气阴亏损,无力摄血,血溢脉外或气虚无力行血,导致血液淤滞,损伤脉络所致。中医治疗以辨证分型、经方验方为主,治法多从滋阴清热,凉血止血;补脾益肾,益气养阴;活血化瘀入手,且取得了一定的治疗效果,在总结前人经验的基础上有一部分中成药及中药注射剂也收获了较好的临床效果。

The article is summarizing TCM clinic research of hematuria of chronic glomerulonephritis in lately decade, including pathogeny, pathogenesis and treatment, prescription of chronic GN. This disease usually caused by heat damaged the collateral, viscera （liver, spleen or kidney） qi and yin deficiency couldn＇ t control the blood and blood spilled the vein or blood stasis which caused by qi deficiency couldn＇t move the blood. Syndrome differenciation, classical prescription were commonly used in traditional chinese medicine treatment with certain effect, such as the way of nourishing yin and clearing heat ,cooling blood and hemostasis, Reinforcing spleen and kidney, tonifying qi andyin, promoting blood circulation for removing blood stasis, and on the base of previous experience, a part of Chinese patent drug and yraditional Chinese medicine injections also had obvious clinical effect.