| 引用本文: |
王小菊,胡国恒,刘柏炎,王行宽.全国名中医王行宽辨治过敏性紫癜性肾炎经验[J].湖南中医药大学学报,2021,41(4):599-602[点击复制] |
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| 全国名中医王行宽辨治过敏性紫癜性肾炎经验 |
| 王小菊,胡国恒,刘柏炎,王行宽 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007;湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 首届全国名中医王行宽认为风热毒邪为过敏性紫癜性肾炎（Henoch-Schonlein purpura nephritis，HSPN）致病之因，早期主因风热夹毒，潜伏于营血，湿热蕴结致瘀，久之脏真虚衰，内犯肾脏，肾失封藏，营精暗泄，发为“溺毒”，其病机与“风、热、湿、毒、瘀、虚”密切相关。治疗上早期以疏风清热，凉血泄毒为主，方用清瘟败毒饮或银翘散加减；久之应加补肾益精填髓之品，方用六味地黄丸或五子衍宗丸加减，并时时不忘“治肝”之法。王老师治疗HSPN强调“微观辨证”的学术理念，善将现代医学检测方法融为我用。他认为运用古代知识治疗疾病，也应适时结合现代新技术、新方法，融古于今、今为我用，不断开拓创新，以提高疾病治疗效果。 |
| 关键词: 过敏性紫癜性肾炎 微观辨证 王行宽 |
| DOI：10.3969/j.issn.1674-070X.2021.04.017 |
| 投稿时间：2020-11-16 |
| 基金项目:国家中医药管理局“王行宽全国名中医传承工作室”建设项目（国中医药办人教函〔2018〕119号）；湖南省自然科学基金（2018JJ2413）；湖南省中医药管理局“胡国恒湖南省名老中医药专家传承工作室”建设项目（湘中医药函〔2018〕37号）；湖南中医药大学校级课题（2019XJJJ041）。 |
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| Discussion on National Famous Chinese Medicine Wang Xingkuan's Experience in Differentiating and Treating Henoch-schonlein Purpura Nephritis |
| WANG Xiaoju,HU Guoheng,LIU Baiyan,WANG Xingkuan |
| (The First Affliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China;Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| National famous Chinese medicine Wang Xingkuan believes that wind and heat are the cause of Henoch-schonlein purpura nephritis, the main disease in the early stage is wind-heat and toxin, pathogenic factors lurking in the nutrient-blood, damp and heat accumulation, causing blood stasis, and after a long time, the organs are empty and weak, committing internal kidneys, the kidneys are not sealed, and the essence is leaked, and finally develops into "drowning poison". Its pathogenesis is closely related to "wind, heat, dampness, poison, blood stasis and deficiency". So the treatment is to relieve wind, clear heat, cool blood and relieve toxin in the early stage, modified Qingwen Baidu Decoction or Yinqiao Powder are used as the prescription; for a long time, it is necessary to supplement the products of kidney, essence and marrow, modified Liuwei Dihuang Pill or Wuzi Yanzong Pill are used as the prescription, and not forget the method of "treating liver". At the same time, professor Wang emphasizes the academic concept of "micro dialectics" in the treatment of Henoch-schonlein purpura nephritis. He is good at integrating modern medical testing methods for our use. He believes that the use of ancient knowledge in the treatment of diseases should also be timely combined with modern new technology and new methods, we should integrate the past with the present and applies it to us and make continuous innovation to improve the treatment effect of diseases. |
| Key words: Henoch-schonlein purpura nephritis micro dialectics Wang Xingkuan |
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