原发肾小球源性蛋白尿的中医治疗

Chinese Medicine Treatment on Primary Glomerular Proteinuria

蛋白尿是肾脏疾病的主要临床表现之一,而蛋白属中医"精微"之范畴,蛋白尿形成的病机主要是本虚标实,正虚邪实。本虚主要是脾、肾、肺、肝四脏功能失调,标实有外感、湿热、瘀血、情志等因素。临床上以补益脾胃、补肾固涩、益气补肺、和血调肝、清热除湿、活血化瘀等方法辨证治疗肾小球源性蛋白尿,取得显著的疗效。

Proteinuriaisoneofthemainclinicalsymptomsofkidneydisease,andaccordingtotraditionalChinesemedicine,proteinattributes to the category of“subtle matter”.Pathogenesis of proteinuria is formed mainly from two aspects,which are root vacuity and tip repletion,as well as healthy energy deficiency and evil excess.The root vacuity includes functional disorders of spleen,kidney,lung, and liver.The tip repletion includes factors such as external infection,dampness heat,blood stasis,emotion.Clinical treatment usually utilize methods of tonifying spleen and stomach,supplementing kidney and securing and astriction,boosting qi and nourishing lung,harmonizing blood and adjusting liver,clearing heat and eliminating dampness,activating blood and transforming stasis to cure primary glomerular proteinuria which shows satisfactory therapeutic effect.