首页|论黄芪在膜性肾病治疗中的应用

论黄芪在膜性肾病治疗中的应用

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膜性肾病以脾肾亏虚、湿瘀阻络为核心病机,其中脾肾亏虚贯穿膜性肾病发生发展的全过程.膜性肾病早期多出现脾肾亏虚,伴随着病情进展加之虚气留滞,导致痰饮、血瘀、水湿等病理产物阻滞肾络,日久形成肾络瘀阻.黄芪为补脾益肾的要药,在膜性肾病的治疗中黄芪不仅可以发挥健脾固肾生精、益气逐血通脉的作用,配伍用药可以达到祛风搜剔、敛藏固精、通滞去实、增效补虚、升阳举陷的效果.此外,强调黄芪在膜性肾病治疗应用中谨防甘满滞胃、甘温助热之弊,掌握好补脾益肾的力度,并注意用药禁忌.
Application of Huangqi(Radix Astragali)in the Treatment of Membranous Nephropathy
The core pathogenesis of membranous nephropathy is spleen-kidney depletion and dampness-stasis blocking collaterals,in which spleen-kidney depletion runs through the whole process of membranous nephropathy.Spleen and kidney depletion often occurs in the early stage of membranous nephropathy,accompanied by the progres-sion of the disease and the stagnation of deficiency and qi,which leads to the obstruction of kidney collaterals by patho-logical products such as phlegm,blood stasis and water-dampness,and then the formation of stasis obstruction in kid-ney collaterals over time.Huangqi(Radix Astragali)as an important herb for supplementing spleen and boosting kid-ney can be used to fortify spleen,consolidate kidney and generate essence,and to boost qi,expel blood and unblock collaterals when treating membranous nephropathy.With combined medicinals,it can dispel and remove wind,as-tringe,store and consolidate essence,unblock stagnation and remove excess,strengthen efficiency and supplement deficiency,raise yang and lift the sunken.Besides,it is emphasized that caution should be taken against the draw-backs that excessive sweet may constrain the stomach,and the sweet and the warm may assist heat in the treatment of membranous nephropathy.The degree at which the spleen is supplemented and the kidney boosted should be chosen properly,and the medication contraindications should be cautioned.

membranous nephropathyHuangqi(Radix Astragali)supplement the spleen and boost the kidneyboost qi and unblock collaterals

曹博宁、王耀献

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北京中医药大学东直门医院,北京市东城区海运仓胡同5号,100700

北京中医药大学

河南中医药大学

膜性肾病 黄芪 补脾益肾 益气通络

国家中医药局中医药传承与创新"百千万"人才工程项目(岐黄学者-国家中医药领军人才支持计划)国家自然科学基金

国中医药人教发[2018]12号82174342

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(16)