杨洪涛教授治疗肾性蛋白尿经验举要

Professor Yang Hongtao's clinical experience in the treatment of renal proteinuria

本文介绍杨洪涛教授治疗肾性蛋白尿经验,提出其病机不外乎本虚标实,以脾肾亏虚为本,以风、湿、热、瘀、毒为标,临证灵活辨治,以调补阴阳、补脾强关、疏利少阳、祛风宣肺、疏络固肾为大法。补肾当辨阴阳,临床又以温补肾阳居多,其精于运用附子,收效甚佳。临证处方以祛风通络法贯穿始终,颇具特色。

The paper discusses Professor Yang Hongtao＇s clinical experience in the treatment of renal proteinuria. The basic pathogenesis of renal proteinuria lied in essential deficiency and superficial excess. It is believed that this disease is resulted from spleen and kidney deficiency in the root, and wind, dampness, heat, stasis and toxin in the tip. The differentiation and treatment is flexible, which is focused on nourishing and balancing yin and yang, invigorating the spleen and strengthening storage, dredging shaoyang, expelling wind and diffusing the lung, dredging collaterals and re- inforcing the kidney. It is argued that kidney deficiency differed in yin and yang, and the yang deficiency was dominant in clinic. The professional application of Fuzi is quite efficient in nourishing kidney yang. It is found that the applica- tion of dispelling wind and promoting blood flow is throughout the clinical practice with a crucial guiding significance.