王海副教授运用加味清心莲子饮治疗小儿孤立性血尿经验举隅
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摘要
王海副教授通过对孤立性血尿患儿的临证观察,认为该病的主要病机为气阴两虚,湿热下注。国医大师张琪教授所创加味清心莲子饮原用于气阴两虚、湿热未尽等慢性肾病恢复期的治疗,王老师结合儿科临床特点将其扩展应用于小儿孤立性血尿的治疗中,方证契合,亦获佳效。附验案1则,以资验证。
Through observation of clinical practice in pediatric patients with isolated hematuria,associate professor WANG Hai deems that the main pathogenesis of the disease lies in downward flow of damp-heat and deficiency of qi and yin.Modified Qingxin Lianzi Yin(清心莲子饮) created by TCM master professor ZHANG Qi is originally used to treat chronic nephrosis in convalescence with deficiency of qi and yin and lingering damp-heat.Associate professor WANG,combined with the clinical characteristics of pediatrics and expanded its application to the treatment of isolated hematuria in children.Because the prescription conforms to the symptoms, it has obtained good effect.One case is attached for verification.
Through observation of clinical practice in pediatric patients with isolated hematuria,associate professor WANG Hai deems that the main pathogenesis of the disease lies in downward flow of damp-heat and deficiency of qi and yin.Modified Qingxin Lianzi Yin(清心莲子饮) created by TCM master professor ZHANG Qi is originally used to treat chronic nephrosis in convalescence with deficiency of qi and yin and lingering damp-heat.Associate professor WANG,combined with the clinical characteristics of pediatrics and expanded its application to the treatment of isolated hematuria in children.Because the prescription conforms to the symptoms, it has obtained good effect.One case is attached for verification.
引文
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[2]孙智才,刘玉玲,潘晓芬,等.儿童无症状血尿431例病因分析及随访[J].临床儿科杂志,2015,33(9):810-811.
[3]张琪.谈祖国医学对肾炎的辨证论治[J].黑龙江中医药,1982(1):18-21.
[4]刘晓鹰,王林群.小儿血尿病证演变规律的回顾性验证研究[J].辽宁中医杂志,2013,40(5):907.
[5]李小会,谢桂权.肾病湿热证的现代研究进展[J].陕西中医学院学报,2011,34(2):84-85.
[6]王新荣,万廷信,赵著华,等.IgA肾病中医湿热证微观辨证病理指标研究[J].中国中医药信息杂志,2015,22(8):31-35.
[7]阮亦,王建楠,张琪,等.张琪运用清心莲子饮经验体悟[J].中国中医药信息杂志,2015,22(1):98-99.
[8]钟立敏,周宏霞,刘丹.白花蛇舌草的药理和临床应用进展[J].中医药信息,2001,18(4):14.
[9]常玲玲,徐丙侠,郑广程,等.黄芪注射液对慢性肾炎血液流变学的影响[J].中西医结合实用临床急救,1998,5(4):170-171.