首页|周恩超教授基于肾虚瘀热理论辨证论治过敏性紫癜性肾炎的经验

周恩超教授基于肾虚瘀热理论辨证论治过敏性紫癜性肾炎的经验

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过敏性紫癜性肾炎是临床上常见的肾脏疾病之一,其发病率高,病情易反复发作.目前西医对于其的治疗手段较为单一,且效果不佳.周恩超教授总结前人的经验并结合自身临床实践,认为过敏性紫癜性肾炎的核心病因病机为"肾虚瘀热",以肾虚为本,"热、风、湿、瘀、毒"诸邪胶结蕴为瘀热而发病.故周恩超教授认为在疾病的治疗中应当紧扣肾虚本质,重视运用清热解毒、活血化瘀之法,随证选药组方施治.同时,也应灵活运用风药以随证加减,一举多得.周恩超教授基于"肾虚瘀热"理论,在辨证论治过敏性紫癜性肾炎上取得了良好的临床效果,为过敏性紫癜性肾炎提供了新思路、新方法.文末附有验案一则,以期为临床提供思路参考.
Professor Zhou Enchao's experience in treating hypersensitive purpura nephritis based on syndrome differentiation of kidney deficiency and stasis heat theory
Hypersensitive purpura nephritis is one of the common kidney diseases in clinic.It has a high incidence and is easy to recur.At present,the treatment method of western medicine for it is relatively single,and the effect is not good.Professor Zhou Enchao summarized the experience of predecessors and his own clinical practice,and believed that the core cause and pathogenesis of hypersensitive purpura nephritis was"kidney defi-ciency and stasis heat",is based on kidney deficiency,and stasis and heat is caused by the combination of"heat,wind,dampness,stasis,and poi-son".Therefore,Professor Zhou Enchao believes that the essence of kidney deficiency should be closely linked in the treatment of diseases,and the method of clearing heat and detoxifying,promoting blood circulation and removing blood stasis should be paid attention to,with the syndrome of drug selection and prescription treatment.At the same time,the use of wind medicine should also be flexible to add or subtract with the evidence,so as to achieve multiple benefits.Based on the theory of"kidney deficiency and stasis heat",Professor Zhou Enchao has achieved good clinical results in the treatment of hypersensitive purpura nephritis based on syndrome differentiation,and has provided a new idea and a new method for hyper-sensitive purpura nephritis.At the end of the article,there is a case to provide a reference for clinical thinking.

Hypersensitive purpura nephritisKidney deficiency and stasis heatZhou EnchaoFamous doctor experience

黄国顺、杨威、周恩超

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南京中医药大学附属医院江苏省中医院肾内科,江苏南京 210029

南京中医药大学第一临床医学院,江苏南京 210023

过敏性紫癜性肾炎 肾虚瘀热 周恩超 名医经验

江苏省"六大人才高峰"高层次人才选拔培养计划江苏省研究生科研与实践创新计划江苏省中医院"高峰学术"人才项目

WSN-012SJCX23_0904y2021rc26

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(13)
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