基于"健脾益肾化瘀"法探讨膜性肾病诊治思路OA
Exploring the Diagnosis and Treatment Approach for Membranous Nephropathy Based on the Method of"Strengthening Spleen and Kidney,and Removing Blood Stasis"
膜性肾病是成人肾病综合征的常见病理类型.目前,西医主要采用支持治疗或免疫调节方案;相较而言,中医药通过整体调节和辨证论治,在减轻症状、降低不良反应以及延缓病情进展等方面展现出独特优势.基于"健脾益肾化瘀"法为纲,探讨膜性肾病的中医诊治思路,通过文献分析与临床实践总结,系统阐述该治法的理论依据:脾虚则水湿不化,肾虚则精微外泄,久病入络致瘀,三者互为因果,形成恶性循环.临床诊治宜分阶段辨证,初期以健脾化湿为主,中期侧重益肾活血,后期则应攻补兼施.膜性肾病在传统中医理论中可归属于"水肿"范畴,基于健脾益肾化瘀法,系统阐述膜性肾病的诊治思路,发掘中医药在肾病治疗中的应用价值.通过分析其中医病因病机,并结合健脾益肾化瘀法的理论基础,探讨其在膜性肾病治疗中的具体应用,以期为临床实践提供理论支撑与实践指导,助力提升膜性肾病的整体治疗成效.
Membranous nephropathy is a common pathological type of adult nephrotic syndrome.Currently,Western medicine mainly adopts supportive treatment or immune modulation schemes;in contrast,traditional Chinese medicine(TCM)demonstrates unique advantages in alleviating symptoms,reducing adverse reactions,and delaying disease progression through overall regulation and syndrome differentiation and treatment.Based on the method of"strengthening spleen and kidney,and removing blood stasis,"this article explores the TCM diagnosis and treatment approach for membranous nephropathy.Through literature analysis and clinical practice summary,it systematically expounds the theoretical basis of this treatment method:spleen deficiency leads to dampness retention,kidney deficiency leads to essence leakage,and prolonged illness leads to blood stasis in the meridians.These three factors are mutually causal,forming a vicious cycle.Clinical diagnosis and treatment require stage-specific syndrome differentiation.In the early stage,the main focus is on strengthening the spleen and resolving dampness;in the middle stage,it focuses on nourishing the kidney and promoting blood circulation;in the later stage,both attack and nourishment should be applied.Membranous nephropathy can be classified under the category of"edema"in traditional Chinese medicine theory.This article aims to elaborate on the diagnosis and treatment approach for membranous nephropathy based on the method of strengthening spleen and kidney,and removing blood stasis,and to explore the application value of TCM in the treatment of kidney diseases.By analyzing the etiology and pathogenesis of TCM and combining the theoretical basis of the method of strengthening spleen and kidney,and removing blood stasis,this article discusses its specific application in the treatment of membranous nephropathy,with the hope of providing theoretical support and practical guidance for clinical practice,and helping to improve the overall treatment effectiveness of membranous nephropathy.
王斯萌;吕静
辽宁中医药大学,辽宁 沈阳 110847辽宁中医药大学附属医院,辽宁 沈阳 110032
医药卫生
健脾益肾化瘀法膜性肾病诊治思路中医水肿
strengthening spleen and kidney,removing blood stasis methodmembranous nephropathydiagnosis and treatment approachtraditional Chinese medicineedema
《中西医结合慢性病杂志》 2026 (1)
59-63,5
辽宁省"兴辽英才计划"项目(XLYC20050060)
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