张鸣鹤教授治疗疮性肾炎的临床经验撷萃.pdfVIP

The Experience Summary of Professor Zhang Minghe in Treating Lupus nephritis Speciality:Internal Medicine of T.C.M Rheumatic Disease Author:pan yan li Tutor:Professor Zhang Liting Abstract Objective: Professor Zhang Minghe who formed his own original views and consideration has been engaged in research of rheumatic disease for many years and quite proficient in diagnosis and treatment of beriberoid disease, especially in Lupus nephritis （LN ） . The study probes into the Pathogenesis, mechanism and therapy of LN disease of Prof. Zhang Minghe. Methods: Reorganize formerly clinical observation material and collecte literature. Conclusion: Professor Zhang think that the hurt of kidney caused by heat and the block of kidney vein caused by blood-stasis are the basic pathogenesis of LN . So for treatment of LN he takes “cleaning away heat and toxic materials ” as the main method ，assisting promoting blood circulation to dissolve the blood stasis, and tonify kidney to confirm protein. It has got satisfactory effect in clinic treatment . Key words Prof. Zhang Minghe ; Lupus nephritis ；Clearing heat and relieving toxin 目 录 引 言 1 正 文 2 一、祖国医学对 LN 的认识3 二、现代医学对 LN 的认识4 （一）病因及发病机制4 （二）病理分型4 （三）临床表现和诊断5 （四）治疗概要5 三、张鸣鹤教授对 LN 病因病机的认识 5 （一）热毒伤肾，肾失固摄为本5 （二）瘀血阻络7 四、辨证论治8 （一）基本治则8 （二）自拟基本方10 （三）方药分析及选药意义10 （四）临证加减概要12 （五）常见的副作用和副作用的避免12 （六）现代研究作用机理探讨13 五、临证体会 15 （一）用药特点15 （二）病证结合:辨病与辨证相结合18 （三）注重中西结合，治疗各取其长20 （四）治疗宜早，疗程宜长20 六、典型病历 21 （一）病例一21 （二）病例二23 （三）病例三25 结 语 27 参考文献 28 综 述 31 致 谢 40 引 言 张鸣鹤教授是我国著名中西医结合风湿病专家，曾任中国中医药学