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王宇光,张琪.国医大师张琪从脾肾论治肾病蛋白尿经验[J].湖南中医药大学学报英文版,2017,37(9):925-927.[Click to copy
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| 国医大师张琪从脾肾论治肾病蛋白尿经验 |
| 王宇光,张琪 |
| (解放军第211医院, 黑龙江 哈尔滨 150080;黑龙江省中医药科学院, 黑龙江 哈尔滨 150036) |
| 摘要: |
| 张琪教授为全国首批"国医大师"之一，从事中医临床及科研工作60余年，擅长治疗慢性肾病。张教授认为肾病引发的蛋白尿，脾肾虚衰是根本病机，脾肾亏虚所夹水湿、湿热是主要病理产物，脾肾气阴两虚、寒热错杂是病机演变的基本特征， 以培脾固肾为治疗大法，选用升阳益胃汤、利湿解毒饮、清心莲子饮及参芪地黄汤辨证治疗各种肾病蛋白尿，临床获满意疗效。 |
| 关键词: 蛋白尿 脾肾亏虚 升阳益胃汤 利湿解毒饮 清心莲子饮 参芪地黄汤 张琪 |
| DOI：10.3969/j.issn.1674-070X.2017.09.001 |
| Received:March 16, 2017 |
| 基金项目:国家中医药管理局国医大师张琪名医工作室资助项目。 |
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| Experience from Professor Zhang Qi in the Treatment of Proteinuria in Nephropathy Based on Spleen and Kidney Theory |
| WANG Yuguang,ZHANG Qi |
| (People's Liberation Army 211 Hospital, Harbin, Heilongjiang 150080, China;Heilongjiang Chinese Medicine Academy of Sciences, Harbin, Heilongjaing 150036, China) |
| Abstract: |
| Professor Zhang Qi is a famous national Chinese medicine master approved in the first batch. Professor Zhang is good at treating chronic kidney disease with more than 60 years experience in the traditional Chinese medicine clinic and scientific research. He considers that the basic pathogenesis of proteinuria caused by nephropathy is the deficiency of spleen and kidney, the main pathological products are water-dampness and dampness-heat due to deficiency of spleen and kidney, the development characteristics of this disease are both deficiency of Qi-Yin, and cold-heat jumble in spleen-kidney. The essential therapy of reinforcing the spleen and the kidney, such as Shengyang Yiwei decoction, Lishi Jiedu decoction, Qingxin Lianzi decoction and Shenqi Dihuang decoction, shows the good clinical effect in differentially treating proteinuria in nephropathy |
| Key words: proteinuria deficiency of spleen and kidney Shengyang Yiwei decocotion Lishi Jiedu decoction Qingxin Lianzi decoction Shenqi Dihuang decoction Zhang qi |
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