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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:

第8卷

期数:

2015年10期

页码:

1275-1277

栏目:

综述

出版日期:

2015-10-06

文章信息/Info

Title:

A five�瞴ear review on treatmentsfor Henoch�睸chonlein Purpura Nephritis of the contemporary famous Traditional Chinese Medicine specialists

作者:

刘涛

100094 北京，中国中医科学院西苑医院肾病科

Author(s):

LIU Tao

Chinese Academy of traditional Chinese Medicine， 100094 Beijing， China.

关键词:

过敏性紫癜性肾炎; 中医药; 文献; 综述

Keywords:

Scholein�瞙enoch purpura nephritis; Traditional Chinese medicine; Literature; Review

分类号:

R272

DOI:

10.3969/j.issn.1674.1749.2015.10.041

文献标志码:

A

摘要:

通过回顾并总结近5年内发表过的名老中医治疗过敏性紫癜性肾炎的经验类文献，发现本病内因多为阴虚血热、气虚不固、湿热内蕴，外因多为感触六淫、饮食刺激、接触过敏原；其病理因素主要为风、热、毒、瘀、湿、积之邪；脏腑定位多为肺、脾、肾。治疗注重于分期辨治，急性期可分为风热犯表证、血热妄行证，治以疏风清热、清热凉血法；慢性期分为瘀血内阻证、湿热内蕴证、阴虚内热证，可予活血化瘀、清热利湿、滋阴清热疗法；迁延期又分为气虚不摄证、气阴两虚证、脾肾阳虚证，分别采用补气摄血、益气养阴、温补脾肾治法。各医家偏重于活血化瘀、清热、顾护脾胃等疗法以及现代药理研究有抗过敏作用的中药的运用。部分医家采用中西医结合疗法。合理的饮食生活习惯亦值得重视。

Abstract:

This research reviewed the papers published in the past 5 years on treatments for Henoch�睸chonlein Purpura Nephritis (HSPN) of the famous TCM specialists. It found out that the endopathic factors of HSPN were yin deficiency and blood heat, qi deficiency failing to control blood, damp�瞙eat accumulating in the interior, while the exogenous factors were exposure to six excesses, diet irritation, anaphylactogen contact. The pathogenic factors were wind, heat, toxin, stagnation, damp and indigestion mostly located in lung, spleen and kidney. Treatments for HSPN could be categorized into three stages based on differentiation. The acute stage included pattern of wind�瞙eat invading exterior, and pattern of bleeding caused by heat in blood. The corresponding treatments were dispelling wind and reducing heat as well as clearing heat and cooling blood. The chronic stage covered pattern of static blood obstructing in the interior, pattern of damp�瞙eat accumulating in the interior, and pattern of yin deficiency and internal heat. The following treatments could be applied: promoting blood circulation to remove blood stagnation, clearing heat to resolve dampness, and nourishing yin to clear heat. The middle later stage had pattern of qi deficiency failing to control bleeding, pattern of deficiency of both qi and yin, and pattern of yang deficiency of both spleen and kidney. Enriching qi and constraining bleeding, strengthening qi and nourishing yin, together with warming and tonifying spleen and kidney were chosen. The majority of the famous TCM specialists would apply promoting blood circulation to remove blood stagnation, clearing heat, and tonifying spleen and stomach as well as using drugs with the pharmacological action of antianaphylaxis. Some specialists also used therapies of integration of TCM and western medicine. Besides, proper diet and healthy lifestyle were also considered important elements of the treatment for HSPN.

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更新日期/Last Update: 1900-01-01