王暴魁治疗IgA肾病经验

Experience of WANG Baokui Who has Treated IgA Nephropathy

介绍王暴魁治疗IgA肾病经验。王暴魁教授认为风热扰肾、气阴亏虚为IgA肾病的基本病机。本病患者素体多热,存在肺、肾气阴不足,风邪在疾病发生、发展中起重要作用。本病的治疗以祛风清热、益气养阴为大法,不同阶段治疗侧重有所不同,同时注意顾护脾胃。本病临床表现与病理严重程度常不相符,将宏观辨证与微观辨证相结合可抓住本病证候本质,取得显著疗效。并举医案体现诊治思路及临床效验。

The article introduced professor WANG Baokui＇s experience on treating Ig A Nephropathy.Professor WANG Baokui believes that wind-heat,insufficiency of both Qi and Yin are the root pathological mechanism.The constitution of the patients are heat originally.Wind plays a significant role in morbidity and progress of the disease.The insufficiency of both Qi and Yin are primarily on lung and kidney.Expelling wind,clearing heat,replenishing Qi and nourishing Yin are the basic methods.The emphasis is changed with stage.Meanwhile spleen and stomach would be protected simultaneously.The clinical symptom is not consistent with pathology generally.The exact syndrome would be obtained via the combination of micro and macro views.The treatment methodology could be refined.