占永立教授从咽论治IgA肾病的理论与实践探析
|
摘要
本文从理论与临床实践2方面总结了占永立教授从咽论治IgA肾病的经验。占教授将Ig A肾病分为3型进行辨证论治:1)肺气不足,热毒扰咽证; 2)脾气虚弱,热邪客咽证; 3)肾阴亏虚,余热留咽证。治疗上以清热解毒利咽为主,兼以扶正,根据病情灵活选方用药,取得较好的临床疗效。
This paper summarized the experience of Professor Zhan Yongli in the treatment of IgA nephropathy starting with pharynx in both theoretical and clinical practice. Professor Zhan divides IgA nephropathy into 3 types for treatment based on syndrome differentiation: 1) insufficient lung qi and heat toxin disturbing pharynx syndrome; 2) spleen qi deficiency and pathogenic heat lingering pharynx syndrome; 3) deficiency of kidney yin and residual heat retaining pharynx syndrome. Accordingly,clearing heat,resolving toxin and relieving sour throat are the main treating methods,accompanied by reinforcing heath qi. In clinical practice,the prescriptions are flexibly selected in line with the condition of the disease,thus better clinical efficacy can be achieved.
This paper summarized the experience of Professor Zhan Yongli in the treatment of IgA nephropathy starting with pharynx in both theoretical and clinical practice. Professor Zhan divides IgA nephropathy into 3 types for treatment based on syndrome differentiation: 1) insufficient lung qi and heat toxin disturbing pharynx syndrome; 2) spleen qi deficiency and pathogenic heat lingering pharynx syndrome; 3) deficiency of kidney yin and residual heat retaining pharynx syndrome. Accordingly,clearing heat,resolving toxin and relieving sour throat are the main treating methods,accompanied by reinforcing heath qi. In clinical practice,the prescriptions are flexibly selected in line with the condition of the disease,thus better clinical efficacy can be achieved.
引文
[1]Lemley KV,Lafayette RA,Derby G,et al.Prediction of early progression in recently diagnosed Ig A Nephropathy[J].Nephrol Dial,2008,23(1):213-222.
[2]李明,余学清.Ig A肾病全基因组关联分析研究[J].中国实用内科杂志,2014,34(3):220-222.
[3]李振吉,王永炎.中医经典必读[M].北京:中国中医药出版社,2005:37.
[4]刘旻,赵启亮,刘贵颖,等.从“邪伏肺络、因瘀致虚”析特发性肺纤维化[J].世界中医药,2016,11(8):1559-1561.
[5]冒慧敏,杨丽平,占永立.外邪在Ig肾病发病中的作用[J].中西医结合肾病杂志,2013,14(10):935-936.
[6]李潆.身经通考[M].北京:中医古籍出版社,2006:81.
[7]傅景华.中医四部经典[M].北京:中医古籍出版社,1996:36,121,135.
[8]郑梅润,郭君双.重楼玉钥[M].北京:人民卫生出版社,2006:34.
[9]巢元方.诸病源候论[M].北京:中国医药科技出版社,2011:13-14.
[10]顾世澄.疡医大全[M].北京:中国中医药出版社,1996:181.
[11]吴限,何伟春,方奕,等.中医“从咽论治”联合西药治疗Ig A肾病的临床研究[J].中国中西医结合肾病杂志,2013,14(9):805-807.
[12]Suzuki Y,Suzuki H,Sato D,et al.Reevaluation of the Mucosa-Bone Marrow Axis in Ig A Nephropathy with Animal Models[J].Advances in Oto-Rhino-Laryngology,2011,72(1):64-67.
[13]陈柏君,杨梅,许琰,等.浅议肺主气与黏膜免疫的关系[J].南京中医药大学学报,2014,30(3):210-212.
[14]俞雨生.Ig A肾病临床及其发病机制的新观点[J].肾脏病与透析肾移植杂志,2006,15(1):60-65.
[15]黄赛花,郑宝林,余俊文,等.Ig A肾病中医辨型与T细胞亚群、TNF-α水平相关性研究[J].首都医药,2007,14(18):44-45.
[16]占永立,戴希文.益气活血、清热解毒法为主治疗慢性肾炎30例临庆观察[J].中医杂志,2003,44(12):922-924.
[17]占永立,戴希文,李秀英,等.益气清热膏对阿霉素肾病大鼠的肾脏保护作用[J].中国中西医结合肾病杂志,2003,4(3):135-138.
[2]李明,余学清.Ig A肾病全基因组关联分析研究[J].中国实用内科杂志,2014,34(3):220-222.
[3]李振吉,王永炎.中医经典必读[M].北京:中国中医药出版社,2005:37.
[4]刘旻,赵启亮,刘贵颖,等.从“邪伏肺络、因瘀致虚”析特发性肺纤维化[J].世界中医药,2016,11(8):1559-1561.
[5]冒慧敏,杨丽平,占永立.外邪在Ig肾病发病中的作用[J].中西医结合肾病杂志,2013,14(10):935-936.
[6]李潆.身经通考[M].北京:中医古籍出版社,2006:81.
[7]傅景华.中医四部经典[M].北京:中医古籍出版社,1996:36,121,135.
[8]郑梅润,郭君双.重楼玉钥[M].北京:人民卫生出版社,2006:34.
[9]巢元方.诸病源候论[M].北京:中国医药科技出版社,2011:13-14.
[10]顾世澄.疡医大全[M].北京:中国中医药出版社,1996:181.
[11]吴限,何伟春,方奕,等.中医“从咽论治”联合西药治疗Ig A肾病的临床研究[J].中国中西医结合肾病杂志,2013,14(9):805-807.
[12]Suzuki Y,Suzuki H,Sato D,et al.Reevaluation of the Mucosa-Bone Marrow Axis in Ig A Nephropathy with Animal Models[J].Advances in Oto-Rhino-Laryngology,2011,72(1):64-67.
[13]陈柏君,杨梅,许琰,等.浅议肺主气与黏膜免疫的关系[J].南京中医药大学学报,2014,30(3):210-212.
[14]俞雨生.Ig A肾病临床及其发病机制的新观点[J].肾脏病与透析肾移植杂志,2006,15(1):60-65.
[15]黄赛花,郑宝林,余俊文,等.Ig A肾病中医辨型与T细胞亚群、TNF-α水平相关性研究[J].首都医药,2007,14(18):44-45.
[16]占永立,戴希文.益气活血、清热解毒法为主治疗慢性肾炎30例临庆观察[J].中医杂志,2003,44(12):922-924.
[17]占永立,戴希文,李秀英,等.益气清热膏对阿霉素肾病大鼠的肾脏保护作用[J].中国中西医结合肾病杂志,2003,4(3):135-138.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |