摘要
中医治疗IgA肾病可从三焦、咽肾、络病、少阳论治。从三焦论治多以清利湿热贯穿全程, 上焦轻畅气机, 中焦清理湿热, 下焦收涩固肾凉血;从咽肾理论多以清热解毒利咽为主, 必要时辅以补肾健脾巩固;从络病论治多考虑本病由病邪外侵或素体本虚受邪气影响致脉络受损而发病, 治以扶正祛邪结合, 重视活血化瘀;而和解少阳多考虑本病由三焦气机不畅、邪犯少阳所致。上述体系治疗切入点有所不同, 但均可改善患者症状, 减少尿蛋白定量, 提高生活质量, 且治法丰富、不良反应少。
The clinical treatment of IgA nephropathy in Traditional Chinese Medicine(TCM)can be treated from theories of Sanjiao,pharynx and kidney,collateral disease and Shaoyang.The Sanjiao theory declaims to clear away damp heat through the whole process of treatment,the upper Jiao lightening the Qi,the middle Jiao clearing away damp heat,and the lower Jiao collecting astringency,strengthening the kidney and cooling blood.The theory of pharynx and kidney focuses on clearing away heat,detoxifying and making benefit of the pharynx,supplemented by tonifying kidney and strengthening the spleen.In the treatment of collateral diseases,it is considered that the disease is caused by the external invasion of disease pathogens or the damage of the vein caused by the fluence of evil Qi.The treatment should be combined with strengthening the right and eliminating evil,and paying attention to promote blood circulation and remove blood stasis.The disease is caused by pooring Qi mechanism of Sanjiao and evil invading Shaoyang.The above TCM systems showed different treatment,but they all improve symptoms,reduce urinary protein quantification,improve quality of life with less adverse events.
作者
常国栋
刘光珍
Chang Guodong;Liu Guangzhen(Master Degree Student of Grade 2019,the Fourth Clinical College,Shanxi University of Traditional Chinese Medicine,Taiyuan 030000,China;Department of Nephrology,Shanxi Academy of Traditional Chinese Medicine,Taiyuan 030000,China)
出处
《国际中医中药杂志》
2022年第3期352-355,共4页
International Journal of Traditional Chinese Medicine
关键词
肾小球肾炎
IGA
中医药疗法
病因病机
三焦论治
咽肾论治
络病论治
少阳论治
综述
Glomerulonephritis,IGA
Traditional Chinese Medicine therapy
Etiology and pathogenesis
Triple Jiao therapy
Pharyngeal kidney therapy
Collateral disease therapy
Shaoyang therapy
Review