小柴胡汤在肾科临床与应用.pdfVIP

小柴胡汤在肾科临床中的应用 章念伟 王绪彪 张德兰 江萍 江西中医学院附属医院肾病科 南昌330006 小柴胡汤在《伤寒论》所载，具和解少阳，扶正达邪之功，且能开少阳之枢，通利三焦。主治 邪在少阳，枢机不利诸证。疗效卓然，为历代医学所习用，代有发挥。在肾科临床中，亦颇多应 用，屡获其效，兹就本人的应用体会，述之于下。 液检 查可 见尿 白纽 为本 病属 下焦 湿妫 哑 寤 渝 执 内 殖 砷 MinorBupleurumDecoctionfortyphoidcontainedtherein,withtheShaoyangreconciliation, centralizeroftheevilpower,andtheriseofShaoyangtriplepivot,TomLee,attendingtheevilinShaoyang, helmadversesyndromes.Innephrologyclinicalapplicationisquitemuch,thecurativeeffectisout- standing.Inthispaper,withMinorBupleurumDecoctioninthetreatmentofacuteglomerularnephritis, nephroticsyndrome,acutepyelonephritisasexample,accordingtotheauthorsclinicalexperience,that theoccurrenceanddevelopmentofacuteglomerulonephritisoftenwindevilheadedsixclimatic pathogenicfactorsmusteredandinvasionofhuman,onlyremovingevilcanblockthedevelopmentof chainlinkofnephritis,obtainbettertherapeuticeffect,ofteninminorDecoctionofBupleurumandfive waterchestnutsdisperse,fivekindsofdisinfectionofdrinking.NephroticsyndromeandtheSanjiaode feat,YangQiandbloodrunsuffocatesuffocate,wetevilstasisclosely,oftentothefivewaterchestnutsdis perse,fivePeelDecoctiontoqistagnationofgoods,canobtainapparenteffect,forrefractorynephrotic syndromeisalsogoodeffect.OnacutepyelonephritiswithminorDecoctionofBupleurumandeightitdis persestheadditionandsubtraction,especiallyforpatientswithhighfever,canquicklyantifebrile,which usekeyforBupleurumcapacitytobebig,to15to20grams,canreceivethedesiredeffect. 从瘀论治糖尿病肾病体会 张慧 吴敏 皮持衡 贺支支 江西省中医学院附属医院 330006 糖尿病肾病是临床多见的糖尿病血管性病变，分为微血管和大血管病变，大血管病变包括 肾动脉硬化 （累及主干及分支）和肾小动脉硬化 （累及人球和出球小动脉）；微血管病变是指肾 小球硬化，分结节性、渗出性和弥漫性三种，糖尿病肾病是糖尿病患者晚期死亡的主要原因。