首页|基于伏邪理论以肺肾轴为主探讨益肾理肺法治疗IgA肾病

基于伏邪理论以肺肾轴为主探讨益肾理肺法治疗IgA肾病

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IgA肾病是临床上以肾小球源性蛋白尿血尿为主要表现的肾小球疾病,目前在我国发病率较高。通过文献学习发现,近年来以伏邪为病因探讨慢性疾病的诊治已然成为新思路。基于伏邪理论的发展与应用,更好地理解伏邪"邪微隐匿,邪盛则病,并易致病情缠绵"的致病特点,从肺肾相生为轴的角度阐述伏邪致IgA肾病的主要病机为:肺肾亏虚,则正气不固,邪气易伏,后因邪气留伏,更耗正气,外邪乘之,触动而病。据此,在IgA肾病临证治疗中,主张把握补肾理肺以培本固本的同时,还需兼顾伏邪的驱除,防止闭门留寇,并根据病情选方用药,取得较好改善患者症状、延缓肾功能衰竭进展的临床疗效。
Discussion on the Treatment of IgA Nephropathy Based on the Theory of Volatile Evil with the Lung-Kidney Axis as the Mainstay of the Beneficial Kidney and Lung Management Method
IgA nephropathy is a glomerular disease clinically characterized by glomerular-derived proteinuria hematuria,which has a high incidence in China at present.Literature study reveals that in recent years it has become a new idea to explore the diagnosis and treatment of chronic diseases with the etiology of volvulus as the cause.Based on the development and application of the theory of amblyopia,this article better understands the pathogenic characteristics of amblyopia,which is that"the evil is slight and hidden,and when the evil is prevalent,the disease is easy to be lingering",and elaborates the main pathomechanism of IgA nephropathy caused by amblyopia from the perspective of the axis of the lung and kidney phases:when the lung and kidney are deficient and weak,then the positive qi is not solid,and the evil is easy to be amblyopia,and the evil will stay in the amblyopia and deplete the positive qi,and then the evil will take advantage of the disease and touch the disease.Accordingly,in the treatment of IgA nephropathy,it is advocated that while tonifying the kidney and regulating the lungs to cultivate the root of the disease,it is also necessary to take into account the expulsion of ambush evils to prevent the closed door from being left behind,and selecting prescriptions and using medicines according to the condition,which has achieved a better clinical efficacy of improving the symptoms of the patients and delaying the progression of renal failure.

Theory of Volatile EvilMethod of Benefiting Kidney and LungIgA Nephropathy

宋卫国、李英兰、谢芬芬

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江西中医药大学附属医院肾病科 南昌 330006

江西中医药大学研究生院 南昌 330006

伏邪理论 益肾理肺法 IgA肾病

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(6)