檀金川论治特发性膜性肾病经验-中国中医药信息杂志.PDFVIP

2017 年10月第24卷第10期 中国中医药信息杂志 ·105· 檀金川论治特发性膜性肾病经验 王涛，指导：檀金川 河北医科大学，河北 石家庄 050017 摘要：特发性膜性肾病是成人肾病综合征的主要原因之一，是一种以肾小球毛细血管袢上皮侧免疫复合物 沉积为特征的肾小球疾病，目前西医治疗主要采用激素联合免疫抑制剂，但不良反应较大。檀金川教授根据多 年临床经验，从脾肾亏虚、肾络瘀阻入手，以益肾通络方加减，扶正固本，脾肾同调，善用虫类药以搜剔经络， 并注重综合调护，对中医药治疗特发性膜性肾病具有积极的参考意义。 关键词：名医经验；檀金川；脾肾亏虚；肾络瘀阻；健脾益肾；化瘀通络；特发性膜性肾病 DOI：10.3969/j.issn.1005-5304.2017.10.026 中图分类号：R272.969.2 文献标识码：A 文章编号：1005-5304(2017)10-0105-04 Experience of TAN Jin-chuan in Treatment of Idiopathic Membranous Nephropathy WANG Tao, Instructor: TAN Jin-chuan (Hebei Medical University, Shijiazhuang 050017, China) Abstract: Idiopathic membranous nephropathy (IMN) is one of the main causes of nephrotic syndrome in adults, and is a kind of glomerular capillary loops epithelial side immune complex deposition of glomerular disease. At present, Western medicine treatment mainly uses hormone combined with immunosuppressive agent, but the adverse reactions are bigger. According to many years clinical experience, Professor TAN Jin-chuan starts from the spleen and kidney deficiency and blood stagnation in kidney meridian, and uses modified Yishen Tongluo Prescription to support right qi and regulate spleen and kidney at the same time. She is good at use of insect medicine to seize the meridians, and focuses on comprehensive care, which provides positive reference value for TCM treatment of IMN. Key words: experience of famous doctors; TAN Jin-chuan; deficiency of spleen and kidney; blood stagnation in kidney meridian; invigorating spleen and kidney; removing stasis and dredging collaterals; idiopathic membranous nephropathy 膜性肾病是导致成人肾病综合征的一个常见病 1 病因病机 因，其特征性的病理改变是肾小球毛细血管袢上皮侧 檀师认为，IMN 病因多为先天禀赋不足，肾气亏 可见大量免疫复合物沉积，临床表现