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高艳霞教授从气虚论治特发性膜性肾病经验

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高艳霞教授认为特发性膜性肾病(Idiopathic membranous nephropathy,IMN)的总体病机以脾肾气虚为本,湿热瘀阻为标,虚实兼杂,虚实相因.临证多采用"补、清、通"三法并施,治以益气健脾补肾、活血清热除湿.自拟芪术固肾方,重用补气之品,随症灵活化裁,临床疗效显著.附典型病案一则.
Professor Gao Yanxia's Experience in Treating Idiopathic Membranous Nephropa-thy from Perspective of Qi Deficiency
Professor Gao Yanxia believes that the overall pathogenesis of idiopathic membranous nephropathy(IMN)is primarily rooted in Qi deficiency of the spleen and kidney,with damp-heat and blood stasis as secondary mani-festations.The condition involves a complex interplay of deficiency and excess,where both coexist and influence one anoth-er.In clinical practice,a three-pronged approach of"tonifying,clearing,and unblocking"was used to tonify qi,strengthen the spleen and kidneys,invigorate blood circulation,clear heat,and dispel dampness.The self-made Qishu Gushen formu-la heavily emphasizes Qi-tonifying herbs and allows for flexible adjustments based on individual symptoms,demonstrating significant clinical efficacy.A typical case study is provided as an example.

Idiopathic Membranous NephropathyQi DeficiencyInvigorating Spleen and Tonifying KidneyEde-maProteinuria

陈昶安、高艳霞、杨光辉、蔡宏瑜

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山西中医药大学,山西太原 030024

山西省中医院肾病一科,山西太原 030012

特发性膜性肾病 气虚 健脾补肾 水肿 蛋白尿

高艳霞省级名中医传承工作室

SXSMZYGZS128

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(8)
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