慢性原发性肾小球疾病的中医分析概况-中医内科学专业毕业论文.docxVIP

成都中医药大学硕士学位论文中文摘要 成都中医药大学硕士学位论文 中文摘要 慢性原发性肾小球疾病(CPG)，中医归属为“水肿”、“虚劳” 范畴。近年来的研究认为，病因病机主要为先天禀赋不足，脾肾虚 弱，和外感风、寒、湿、热、毒邪相兼为患，导致肺失宣肃、脾失 运化、肾失开合出现水液潴留、精微不固，形成水肿、蛋白尿等而 发病。其证侯特点表现为本虚标实，本虚以脾肾虚损为主，邪实则 有风、寒、湿、热、瘀血的不同，多数学者认为湿热和瘀血贯穿病 ， 程的始终。胎疗方法上主要涉及健脾温肾、益气养阴、滋阴补肾、 ＼ 清热解毒、活血化瘀等，一部分学者采用辨证论治，一部分学者则 采用专方专药，疗效显著。中医治疗CPG的疗效标准有待进一步规 范，辨证客观化的研究亦有待深入，仍需加强临床研究以发现新方 或从现有的药方中优选理想的方药以提高其疗效。由于雷公滕治疗 J，——‘——一 蛋白尿的显著疗效，由其组成的复方有望成为治疗本病的廉价、高 、 效、副作用少的主要药物。、L ／ 关键词 中医中药 肾小球疾病f慢性／原发性 综述 ／ 成蕃中医药大学硬士学位论文ABSTRACT 成蕃中医药大学硬士学位论文 ABSTRACT Cllromc primary glomerulopathy(CPG)belongs to edema or consumptive disease in TCM．Inherent iunet deficiency(especially spleen and kidney weakness)， with affection by external evils，such够Wind，Cold，Dampness，Heat and Toxin is the main etiological factor，which results in lung failing to disperse and descend spleen failin8 t0 transport and transform,kidney failing to open and close rcspectivdy．The symptom and sign character is deficiency in root and excess in superficiality．The former is mainly spleen and kidney weakness，the later can be Wind，Cold，Dampness，Heat evils or Blood stasis．Most scholars think that Blood st船is and Damlm髓Js-Heat pass through the whole COUrSe of CPG．Therapeutic method frmu∞tly include invigorating Spleen and wanning Kidney， supplementing Qi and nourishing Yin,repleulshing Yin and supplementing Kidney clearing away Heat-toxin and promoting Blood circulation tO dissipate blood stasis Some scholars adopt treatment based on differentiation，while some scholars use a certain prescription Or drug．Both curative effect criterion of TCM and differentiation of syndrome and signs need tO be improved． Clinical study should be蚰嘲堰Eh曲led to find nOW prescriptions or select more perfect herbs． Compound prescriptions with Caulis Tripterygi as primary ingredient may become the chief m斟licamcmts in future in virtue of its notable curative effect Oil proteinuria,lOWer pri∞and fewer side effects． KEYWORD Traditional Chinese medicine and