从温病学理论浅析小儿紫癜性肾炎的辨证论治

The study of syndrome differentiation and treatment on Henoch-Schonlein purpura nephritis from seasonal febrile disease theory

小儿紫癜性肾炎的病因以"热邪"为主,与"瘀""湿""虚"密切相关。初期为风热郁肺,内扰营血;极期为热入营血,迫血动血;迁延期由于患儿体质不同,可以向肾阴虚或脾阳虚(脾肾阳虚)发展。血热内伏,与瘀或湿互结,使本病缠绵难愈,病变过程中呈现出明显的卫气营血变化规律,故运用温病理论可以指导本病的辨证和治疗。

Associated to stasis,damp and deficiency,the etiology of Henoch-Schonlein purpura nephritis is mainly on heat evil.At initial stage,its pathogenesis is invasion of heat into blood caused by wind-heat stagnation.At procrastinate stage,due to different physique,its pathogenesis can become kidney yin deficiency or spleen yang deficiency（ spleen-kidney yang deficiency）.Latent heat in blood can interact with stasis or damp,it is the reason that this disease hard to be cured. The transformation law on Weiqi Yingxue at the pathologic process appeared obviously,so theory of seasonal febrile disease can be the guideline for syndrome differentiation and treatment of this disease.