痛风性肾病的辨机论治

Pathogenesis differentiation and treatments of gouty nephropathy

浊瘀痹阻肾络是痛风性肾病的特有病机,贯穿疾病全程,是痛风性肾病有别于其他慢性肾脏病的病机特点,决定了证候、症状的发生与发展方向,亦为不同证候所共有的病机。证候病机是痛风性肾病辨证论治的主体,早期多实,晚期多虚,以湿热瘀阻,脾肾亏虚为常见。症状病机是症状产生的直接病机,痛风性肾病针对症状采用对症治疗可增强辨病、辨证的治疗效果。

The obstruction of kidney collaterals by turbid and blood stasis is a characteristic pathogenesis of gouty nephropathy,which runs throughout the whole process of the disease. The pathogenesis of disease of gouty nephropathy is different from that of other chronic kidney diseases,determines the occurrence and development direction of patterns and symptoms,and is the common pathogenesis behind different patterns.The pathogenesis of pattern is the main body of pattern differentiation and treatment of gouty nephropathy,damp-heat obstruction and spleen-kidney deficiency and is the pathogenesis base of same treatment for different diseases. The pathogenesis of symptoms is a direct pathogenesis induced by symptoms. In treatment of gouty nephropathy,symptomatic treatment can improve the therapeutic effects based on disease and pattern differentiations.