首页|期刊导航|中医学报|基于"肝脾-免疫"探讨当归芍药散治疗维持期狼疮性肾炎

基于"肝脾-免疫"探讨当归芍药散治疗维持期狼疮性肾炎OA

Treatment of Lupus Nephritis in Maintenance Phase with Danggui Shaoyao Powder Based on"Liver and Spleen-Immune"Theory

中文摘要英文摘要

狼疮性肾炎作为一种严重的免疫性肾小球肾炎,约50%患者会发展成终末期肾病,这也是系统性红斑狼疮患者最主要的死亡原因.临床上将狼疮性肾炎分为急性诱导期和维持期,维持期的治疗目的主要是为了稳定病情、预防狼疮性肾炎复发、减少肾损伤、降低尿毒症的发病率.因此,维持期的治疗是保护肾脏的关键阶段.中医认为,维持期狼疮性肾炎的核心病机是肝郁脾虚,导致脉络瘀阻、水液停聚和免疫系统紊乱.当归芍药散疏肝健脾、血水同调,可提高人体免疫功能,可用以治疗肝郁脾虚、血瘀水停之维持期狼疮性肾炎.

Lupus nephritis,as a severe immune-mediated glomerulonephritis,progresses to end-stage renal disease in about 50%of patients and is the leading cause of death in systemic lupus erythematosus.Clinically,lupus nephritis is divided into an acute induction phase and a maintenance phase.The main goals of maintenance phase treatment are to stabilize the condition,prevent recurrence of lu-pus nephritis,reduce kidney damage,and lower the incidence of uremia.Therefore,treatment during the maintenance phase is a key stage for renal protection.According to traditional Chinese medicine,the core pathogenesis of the maintenance phase of lupus nephritis is Liver stagnation and Spleen deficiency,leading to meridian and collateral obstruction,Fluid retention,and immune system disorder.Danggui Shaoyao Powder,by soothing the Liver and strengthening the Spleen while harmonizing blood and Water,can improve immune function.It is applicable for treating Liver-stagnation and Spleen-deficiency type lupus nephritis during the maintenance phase char-acterized by blood stasis and Fluid retention.

邓湘雨;周承涵;周少华;孟立锋

广西中医药大学,广西 南宁 530200广西中医药大学,广西 南宁 530200广西中医药大学,广西 南宁 530200广西中医药大学第一附属医院,广西 南宁 530219

医药卫生

维持期狼疮性肾炎当归芍药散"肝脾-免疫"肝郁脾虚疏肝健脾

Lupus nephritis in maintenance phaseDanggui Shaoyao Powder"Liver and Spleen-immune"Liver stagnation and Spleen deficiencysoothing Liver and strengthening Spleen

《中医学报》 2026 (2)

265-268,4

国家自然科学基金项目(81860838)广西自然科学基金面上项目(2020GXNSFAA297200)国家中医药管理局第五批全国中医临床优秀人才研修项目{国中医药人教函[2022]1号}桂派杏林拔尖人才项目{桂中医大党[2022]23号}

10.16368/j.issn.1674-8999.2026.02.037

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