盛梅笑运用益肾清利和络法治疗慢性肾炎蛋白尿

Sheng Meixiao′s Experience in Treating Chronic Nephritis Proteinuria by Benefiting the Kidney,Clearing Damp-Heat and Harmonizing Collaterals

慢性肾炎属本虚标实证,脾肾气虚为其本,湿热、瘀血、风邪搏结于里为其标。湿热蕴滞肾络,脾不升清,肾失封藏是肾炎蛋白尿形成的关键病机。临证以益肾清利和络为治法,强调益肾健脾培本为先,清利湿热贯穿始终,水肿阶段重视活血利水,佐以祛风胜湿、摄精固涩,同时善用虫类药搜风剔络。益肾清利和络法联合低剂量雷公藤多苷治疗能够增强疗效,减少雷公藤的不良反应。

Chronic nephritis is deficiency in origin and excessiveness in symptom,in which the Spleen and Kidney Qi deficiency being the fommer and the Damp-Heat,blood stasis and Wind Evil are the latter.Damp-Heat stagnating in Kidney meridian,Spleen Qi moving abnormally as well as Kidney losing its sealing fuction is the key pathogen of nephritis proteinuria formation.In clinical practice,the treatment method should be benefiting Kidneys,clearing Damp-Heat and harmonizing collaterals,emphasizing the benefiting of Kidneys and Spleen first,with clearing Damp-Heat throughout the whole process and attaching importance to the vitality of blood and water in the edema stage.Be accompanied by the removal of Wind and Dampness as well as consolidating Essence and making good use of insect drugs to search for Wind in meridians.The combination of benefiting the Kidney,clearing Damp-Heat and harmonizing Collaterals combined with low-dose triptolide polyside therapy can enhance the efficacy and reduce the adverse reactions of triptolide.