闫慧敏从络病论治儿童过敏性紫癜性肾炎经验
YAN Huimin's Experience on Treating Children's Henoch-Schonlein Purpura Nephritis from Collateral Disease
DOI:10.13192/j.issn.1000-1719.2020.12.012
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1.国家儿童医学中心,首都医科大学附属北京儿童医院,北京 100045
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赵骞, 何强, 何松蔚. 闫慧敏从络病论治儿童过敏性紫癜性肾炎经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.12.012
ZHAO Qian, HE Qiang, HE Songwei. YAN Huimin's Experience on Treating Children's Henoch-Schonlein Purpura Nephritis from Collateral Disease[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.12.012
赵骞, 何强, 何松蔚. 闫慧敏从络病论治儿童过敏性紫癜性肾炎经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.12.012 DOI:
ZHAO Qian, HE Qiang, HE Songwei. YAN Huimin's Experience on Treating Children's Henoch-Schonlein Purpura Nephritis from Collateral Disease[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13192/j.issn.1000-1719.2020.12.012 DOI:
过敏性紫癜性肾炎是儿科最为常见的继发性肾小球疾病之一,中医药在防治儿童过敏性紫癜性肾炎方面具有独特的优势。闫慧敏教授从事儿童过敏性紫癜性肾炎临床研究工作30余年,积累了丰富的经验,从络病理论出发,阐释过敏性紫癜性肾炎病因病机,认为小儿过敏性紫癜性肾炎病因不外内外因,急性阶段的病机主要为湿热内蕴,损伤肾络,随着病程的延长,内外之邪阻于肾络,日久灼伤阴络,故强调分期辨证论治,治疗本病以“疏通”为要,将“活络化瘀”的原则贯穿于治疗本病始终,急性期祛湿解毒,活血化瘀,病程迁延以养阴益气,化瘀祛湿为主,主要组方为凤尾草、倒扣草、苦参、石韦、薏苡仁、败酱草、连翘、赤小豆、蒲黄炭、莲须、豆豉、生山药、芡实等,根据不同兼证加减化裁,取得了良好的临床疗效。
Henoch-Schonlein purpura nephritis is one of the most common secondary glomerular diseases in pediatrics.Traditional Chinese medicine has unique advantages in the prevention and treatment of Henoch-Schonlein purpura nephritis in children.Professor YAN Huimin has been engaged in clinical research of children's HSPN for more than 30 years and has accumulated rich experience.Based on the theory of collateral disease, she explains the etiology and pathogenesis of HSPN, and thought that the etiology of it is not external but internal.The pathogenesis of the acute stage is mainly the accumulation of damp and heat, which damages the kidney collaterals.With the prolongation of the course of the disease, internal and external evils block the kidney collaterals and burn the Yin collaterals for a long time.Therefore, Professor YAN emphasizes the treatment of the disease by stages and differentiation of syndromes.The treatment of the disease should be based on "dredging", and the principle of "activating collaterals and removing blood stasis" throughout the treatment of the disease.In the acute stage, she uses the methods of removing dampness and toxin, promoting blood circulation and removing blood stasis, and the treatment mainly focuses on nourishing Yin and Qi, removing blood stasis and removing dampness.The main traditional Chinese medicines are Fengweicao(,Pteris multifida, Poir), Daokoucao(,Achyranthes aspera, L), Kushen(,Sophora flavescens,), Shiwei(,Pyrrosia lingua,), Yiyiren(,Coix lacrymajobi,), Baijiangcao(,Patrinia,), Lianqiao(,Forsythia suspensa,), Chixiaodou(,Vigna umbellata,), Puhuangtan(,Typha angustifolia charcoal,), Lianxu(,Nelumbo nucifera Gaertn,.), Douchi(fermented soya beans), Shanyao(,Dioscorea oppositifolia,), Qianshi(,Euryale ferox,), etc.Professor YAN has achieved good clinical effect according to the addition and subtraction of different syndromes of children with Henoch-Schonlein purpura nephritis.
过敏性紫癜性肾炎儿童络病名医经验闫慧敏
Henoch-Schonlein purpura nephritischildrencollateral diseaseexperience of famous doctorsYAN Huimi
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