中医微观辨证在肾脏病研究中的应用

Application of Traditional Chinese Medicine Microscopic Syndrome Differentiation in Kidney Pathology

微观辨证就是在谙熟中、西医相关知识的基础上进行心悟的审慎过程。西医肾病学许多病因、病机,甚至于糖皮质激素治疗肾病机理都尚未完全明了。与此类似,微观辨证下的中医肾病治疗机理则更具抽象性。微观辨证是中医传统(宏观)辨证向前发展的结果,是对宏观辨证深化与补充,其只能在中医基础理论的指导下进行,不能够独立于宏观辨证之外而存在。临床辨证方法当分清主次,总的原则还是以整体辨证为主,微观辨证为辅。若能借助现代先进的科学技术深入研究,创立中医治疗肾病的新理念,则可使肾病治疗更客观、更有效。

Microscupic syndrome differentiation is a prudent process of mental comprehension based on the relative knowledge of western medicine. There are many etiologies and pathogenesis of nephropathy in western medicine. Even the pathogenesis of glu- eocorticoid for treating nephropathy is not fully clear. Similarly,the TCM microscopic syndrome differentiation is much more ab- stract,which is the advanced development result of TCM conventional（macroscopic） syndrome differentiation and the deepening andsupplement of it but ean only be conducted under the guidance of basic TCM theory and not be separated from the macroscop- ic syndrome differentiation. In clinic,the primary and the secondary, syndrome differentiation should be drawn clear distinction. The general principle is taking the holistic syndrome differentiation as the principal and microscopic syndrome differentiation as the supplementary. If some modern advanced science and technology ean be applied to establish new theory of TCM, the treatment of nephropathy will be more objective and effective.