[1]冯春丽,蒋秋明,李春香,等.冮顺奎主任医师运用御风扶正法治疗小儿紫癜性肾炎经验[J].中医儿科杂志,2019,15(01):20-23.[doi:10.16840/j.issn1673-4297.2019.01.08]
 FENG Chunli,JIANG Qiuming,LI Chunxiang,et al.Archiater GANG Shunkui's experience in using resisting wind and strengthening the body resistance method to treat Henoch-Schonlein purpura nephritis in children[J].Journal of Pediatrics of Traditional Chinese Medicine,2019,15(01):20-23.[doi:10.16840/j.issn1673-4297.2019.01.08]
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冮顺奎主任医师运用御风扶正法治疗小儿紫癜性肾炎经验
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《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
15
期数:
2019年01期
页码:
20-23
栏目:
专家诊疗经验
出版日期:
2019-01-25

文章信息/Info

Title:
Archiater GANG Shunkui's experience in using resisting wind and strengthening the body resistance method to treat Henoch-Schonlein purpura nephritis in children
作者:
冯春丽 蒋秋明 李春香 冮顺奎
昆明市中医医院儿科, 云南 昆明 650500
Author(s):
FENG Chunli JIANG Qiuming LI Chunxiang GANG Shunkui
Department of Pediatrics, Kunming Hospital of TCM, Kunming, Yunnan, 650500, China
关键词:
紫癜性肾炎小儿御风扶正黄芪临床经验冮顺奎
Keywords:
Henoch-Schonlein purpura nephritis (HSPN)childrenresisting wind and strengthening the body resistanceHuangqi (Astragali radix)clinical experienceGANG Shunkui
分类号:
R726.9
DOI:
10.16840/j.issn1673-4297.2019.01.08
摘要:
冮顺奎主任医师将小儿紫癜性肾炎归于"肾风"范畴,用伏邪理论进行探讨,认为邪入少阴,肾络伏邪,邪伏脏损,肾失封藏是该病的基本病机。治疗除倡导宣透逐邪外,还应御风扶正,以黄芪为君。其方药证治擅于运用黄芪类方,如黄芪三草汤、黄芪六君汤、参芪地黄汤、肾风三两三等。附典型验案1则,以资验证。
Abstract:
Archiater GANG Shunkui ascribes Henoch-Schonlein purpura nephritis (HSPN) in children to "kidney wind syndrome" category,discussing with the theory of latent pathogenic factors,deeming that the basic pathogenesis of HSPN lies in invasion of pathogenic factors into shaoyin,latent pathogenic factors in kidney collateral,viscera damage due to latent pathogenic factors and kidney dysfunction in storing essence.He advocates that in addition to the treatment of "dispersing and letting out pathogenic factors",the doctor should use resisting wind and strengthening the body resistance method,taking Huangqi (Astragali radix) as the principal drug.His prescription,remedy and diagnosis and treatment excels at application classified prescription of Huangqi,such as Huangqi Sancao Tang(黄芪三草汤),Huangqi Liujun Tang (黄芪六君汤),Shenqi Dihuang Tang (参芪地黄汤) and Shenfeng Sanliangsan (肾风三两三) etc.One typical case is attached for verification.

参考文献/References:

[1] 中华医学会儿科分会肾脏学组.紫癜性肾炎诊治循证指南(2016)[J].中华儿科杂志,2017,55(9):647-651.
[2] 冮顺奎. 伏邪理论与临床[M].昆明:云南科技出版社,2007:170-186.
[3] 黄松明,李秋,郭艳芳.紫癜性肾炎的诊治:《儿童常见肾脏疾病诊治循证指南(试行)》解读(二)[J].中华儿科杂志,2009,47(12):914-916.
[4] 汪小莉,刘晓,夏春燕,等.防己黄芪汤药理作用及各单味药化学成分研究进展[J].中草药,2016,49(19):3527-3528.
[5] 袁红霞,陈艳春.黄芪的现代药理研究及其临床应用[J].山东中医药大学学报,2000,24(5):397-399.
[6] 彭卫华,曲强.黄芪治疗肾脏疾病的现代药理研究[J].中国中西医结合肾病杂志,2001,2(10):614-616.

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备注/Memo

备注/Memo:
作者简介:冯春丽(1983-),女,主治医师,医学硕士,主要从事中西医结合儿科临床诊疗工作。
通信作者:冮顺奎(1962-),男,主任医师,医学学士,主要从事肾病及风湿病的中医临床诊疗工作。E-mail:2031291588@qq.com
更新日期/Last Update: 1900-01-01