摘要
IgA肾病好发于气虚、阴虚体质之人,风邪为其发病的始动因素,治疗时应首重祛风,清上安下,同时也要注意益气固表、健脾补肾以固本培元,不给风邪可乘之机。疾病发生后,病邪与机体相互影响,形成虚实夹杂之衍生病机,此时重在对症治疗,通常治以破瘀泻浊解毒以畅肾络,又因“大凡络虚,通补最宜”,故驱邪之余,当荣养络脉,先安未受邪之地。风湿和肾络癥瘕为其共通病机,继而提出“辨机论治”是治疗该病的关键,将辨病、辨证、辨症三者有机结合,以自创的肾炎防衰液为主,采用扶正、开郁、活血、涤痰、利湿、清热、软坚、解毒等多种方法消癥散结。
IgA nephropathy is more common in people with Qi deficiency and Yin deficiency constitutions,and Wind evil factor is the initiating factor of its onset.When treating the disease,the first priority should be to dispel Wind,clear the upper part and calm lower part of body,and also pay attention to tonifying Qi and strengthening the exterior part of body,strengthening the Spleen and Kidney to strengthen the foundation and cultivate the Essence.Wind evil should not be given an opportunity to take advantage of.After the occurrence of a disease,the pathogenic factors interact with the body,forming a derivative pathogenesis of deficiency and excess.At this time,the focus is on symptomatic treatment,usually to break through blood stasis,clear turbidity,and detoxify to clear the Kidney meridians.Moreover,because"the most suitable way to clear and replenish the meridians is to promote the nourishment of the meridians",in addition to expelling evil factor,it is important to nourish the meridians and first strengthen the areas that have not been affected by evil factors.Rheumatism and Kidney meridian syndrome are the common pathogenic mechanisms,and the key to treating this disease is to propose the"differentiation of mechanisms and treatment".The organic combination of disease differentiation,syndrome differentiation,and syndrome differentiation is the key to treating this disease,mainly using self created nephritis anti-aging liquid,and various methods such as nourishing the body,relieving depression,promoting blood circulation,clearing Phlegm,promoting Dampness,clearing Heat,softening hardness and detoxifying are used to eliminate symptoms and disperse nodules.
作者
李春瑶
魏蜀吴
王文娜
姜伟民
张佳乐
王耀献
孙卫卫
LI Chunyao;WEI Shuwu;WANG Wenna;JIANG Weimin;ZHANG Jiale;WANG Yaoxian;SUN Weiwei(Beijing University of Chinese Medicine,Beijing China 100105;Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine,Beijing China 100007;Henan University of Chinese Medicine,Zhengzhou Henan China 450046)
出处
《中医学报》
2024年第1期130-134,共5页
Acta Chinese Medicine
基金
国家中医药管理局中医药传承与创新“百千万”人才工程项目(岐黄学者-国家中医药领军人才支持计划){国中医药人教发〔2018〕12号}。
关键词
IGA肾病
辨机论治
初始病机
对证病机
体质病机
衍生病机
共通病机
王耀献
IgA nephropathy
distinguishing the mechanism for treatment
initial pathogenesis
diagnosis and pathogenesis
symptomatic pathogenesis
physical pathogenesis
derived pathogenesis
common pathogenesis
Wang Yaoxian
