从气阴两虚论治慢性肾炎蛋白尿

Treatment in Chronic Nephritis Albuminuria from the View of Deficiency of Both Qi and Yin

蛋白尿是慢性肾炎的一个重要指征,贯穿于慢性肾炎的发生发展以至向终末期肾衰竭进展的整个过程中并起举足轻重的作用。吴颢昕教授根据多年的临床经验,总结出慢性肾炎蛋白尿的病机特点为本虚标实,本虚以脾肾虚损、气阴两虚为主,标实以湿热、瘀血为主,治疗强调以益气养阴、健脾补肾为主,同时注重清热化湿、活血化瘀并贯穿始终,自拟经验方消白饮标本兼治,把分型与分证的思想贯穿于随证加减之中,并配合水蛭研粉吞服取得满意的临床疗效。

Proteinuria is one of the important indications of chronic nephritis, which runs through the development of chronic nephritis, as well as the whole process of progression to end-stage renal failure, and plays an important role. According to years of clinical experience,Professor Wu Hao-xin summarizes that the deficiency of both Qi and Yin, spleen and kidney is the basic pathogenesis of chronic nephritis albuminuria, pathological products of damp heat and stasis are superficial. In clinical treatment, he takes supplementing Qi and nourishing Yin,invigorating the spleen and tonifying kidney into the first place, accompanied by clearing away heat and toxic material, resolving dampness and promoting blood circulation and to remove blood stasis all the way. He summarizes empirical formula XiaoBai Decoction, treating both manifestati on and root cause of disease, and with leech powder, has achieved satisfactory clinical effect.