肾脏病微观辨证的理论探讨-环球中医药.PDFVIP

·理论探讨 · 肾脏病微观辨证的理论探讨 郭晓媛摇 王暴魁 揖摘要铱摇 肾活检病理是肾脏病命名分类、明确诊断、指导治疗的重要依据,也是肾脏病中医辨 证论治的重要资料。 肾脏病微观辨证的专题研究已广泛开展,临床实用价值尚待提高。 肾脏病微 观辨证的理论体系应是以临床经验为基础,以肾脏微观结构为主体,以中医整体观念、阴阳学说、藏 象学说、五行学说等哲学思想为构架而建立。 以肾活检病理为主的微观辨证存在一定局限性,肾脏 病微观辨证的思路尚待拓宽,理论体系需要大量临床实践进行完善。 揖关键词铱摇 肾活检;摇 病理;摇 中医证候;摇 微观辨证 揖中图分类号铱摇 R22摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2017郾09郾007 Theoretical discussion of the micro syndrome differentiation of kidney disease摇 GUO Xiaoyuan, WANGBaokui.摇 Department of Nephrology,Dongfang Hospital Affiliated to Beijing University of Chinese Medicine,Beijing 100078,China Corresponding author:WANGBaokui,E鄄mail:wbk03311@ 揖Abstract铱摇 Pathology of renal biopsy is the most important basis for naming,types,diagnosis and treatment of kidney disease, and similarly important for Traditional Chinese Medicine syndrome differentiation. Studies on micro syndrome differentiation of kidney disease are widely carried out. However,the significance of those studies is not profound for clinic. In author爷s opinion,the theory of micro syndrome differentiation of kidney disease shouldbebasedon clinical experience. Theprinciplepart of the theory is renal micro structure. The frame includes holistic concept,theory of yin鄄yang,visceral manifestation and five elements. There are some limitations in micro syndrome differentiation of kidney biopsy pathology. The thinking should be broadened,thetheory system shouldbe improvedby clinical ex鄄 perience. 揖Key words铱摇 Renal biopsy;摇 Pathology;摇 Traditional Chinese medicine syndromes;摇 Micro syndrome differentiation 作者单位:100078摇 北京中医药大学东方医院肾病科 摇 摇 长期的临床实践证实,中医药从缓解症状、改 作者简介:郭晓媛(1986- ),女,硕士,主治医师。 研究方向:肾 善指标、减轻免疫抑制类药物不良反应、延缓病情 脏病的中西医诊治。 E鄄mail:jackieg@ 通信作者:王暴魁(1965- ),博士,主任医师。 研究方向:肾脏 进展等方面对肾脏病均有确切疗效。 随着肾活检 病的中西医诊治。 E鄄ma