当代名老中医治疗过敏性紫癜性肾炎近5年文献回顾-环球中医药.PDFVIP

环球中医药2015年10月第8卷第10期摇 Global Traditional Chinese Medicine,October2015,Vol郾8,No郾10 摇1275 ·综述 · 当代名老中医治疗过敏性紫癜性肾炎近5 年文献回顾 刘涛 揖摘要铱摇 通过回顾并总结近5年内发表过的名老中医治疗过敏性紫癜性肾炎的经验类文献, 发现本病内因多为阴虚血热、气虚不固、湿热内蕴,外因多为感触六淫、饮食刺激、接触过敏原;其病 理因素主要为风、热、毒、瘀、湿、积之邪;脏腑定位多为肺、脾、肾。 治疗注重于分期辨治,急性期可 分为风热犯表证、血热妄行证,治以疏风清热、清热凉血法;慢性期分为瘀血内阻证、湿热内蕴证、阴 虚内热证,可予活血化瘀、清热利湿、滋阴清热疗法;迁延期又分为气虚不摄证、气阴两虚证、脾肾阳 虚证,分别采用补气摄血、益气养阴、温补脾肾治法。 各医家偏重于活血化瘀、清热、顾护脾胃等疗 法以及现代药理研究有抗过敏作用的中药的运用。 部分医家采用中西医结合疗法。 合理的饮食生 活习惯亦值得重视。 揖关键词铱摇 过敏性紫癜性肾炎;摇 中医药;摇 文献;摇 综述 揖中图分类号铱摇 R272摇 揖文献标识码铱摇 A摇 doi:10.3969/ j.issn.1674鄄1749.2015.10.041 A five鄄year review on treatmentsfor Henoch鄄Schonlein Purpura Nephritis of the contemporary famous Traditional Chinese Medicine specialists摇 LIU Tao.摇 Chinese Academy of traditional Chinese Medicine,100094 Beijing,China. Corresponding author:LIU Tao,E鄄mail:zjfd2012@163.com 揖Abstract铱摇 This research reviewed the papers published in the past 5 years on treatments for Henoch鄄Schonlein Purpura Nephritis (HSPN) of the famous TCM specialists. It found out that the endopathic factors of HSPN were yin deficiency and blood heat, qi deficiency failing to control blood, damp鄄heat accumulating in the interior,while the exogenous factors were exposure to six excesses,diet irritation,anaphylactogen contact. The pathogenic factors were wind,heat,toxin,stagnation,damp and indigestion mostly locatedinlung,spleenandkidney. Treatmentsfor HSPNcouldbecategorizedintothree stagesbasedondifferentiation. Theacutestageincludedpatternofwind鄄heatinvadingexterior,andpattern of bleeding caused by heat in blood. The corresponding treatmentswere dispelling wind and reducing heat aswell as clearing heat and cooling blood. The chronic stage covered pattern of static blood obstructing in the interior,pattern of damp鄄heat accumulating in the interior,and pattern of yin deficiency and i