肾淀粉样变中西医结合治疗1例

A Case of Renal Amyloidosis Treated with Integrated Traditional Chinese and Western Medicine

肾淀粉样变性发病罕见,反复发作的水肿及难以控制的蛋白尿严重影响了患者的生活质量,带来极大的经济及心理负担。报告中西医结合治疗肾淀粉样变1例,采用硼替佐米 + 环磷酰胺治疗方案的同时,治以宣肺利水,益肾健脾为法,治疗过程中审证调方,2月余后水肿基本未再复发,蛋白尿持续降低,疗效甚佳。

Renal amyloidosis is a rare occurrence, and recurrent edema and uncontrollable proteinuria seriously affect the quality of life of patients, bringing great economic and psychological burden. A case of renal amyloidosis was treated with a combination of traditional Chinese and Western medicine. The treatment regimen of bortezomib and cyclophosphamide was used, while promoting lung and water circulation, benefiting the kidneys and spleen. During the treatment process, the evidence was reviewed and the formula was adjusted. After more than 2 months, the edema basically did not recur, and proteinuria continued to decrease. The therapeutic effect was excellent.