王雪峰教授治疗儿童难治性肾病经验探析

张秀英; 王雪峰; 单红梅; 王美娇

doi:10.13194/j.issn.1673-842x.2020.04.025

意见反馈

您当前的位置：

首页 >

文章列表页 >

王雪峰教授治疗儿童难治性肾病经验探析

中国中医药临床案例成果库

上一篇: 经方治疗1型糖尿病伴反复角膜溃疡1例

下一篇: 妊娠腹痛治验举隅

王雪峰教授治疗儿童难治性肾病经验探析
WANG Xuefeng Professors's Experience in Treating the Refractory Nephritic Syndrome in Children
1.辽宁中医药大学附属医院，辽宁　沈阳　110032
2.上海交通大学附属上海儿童医学中心，上海　200127
3.辽宁中医药大学，辽宁　沈阳　110847
DOI：10.13194/j.issn.1673-842x.2020.04.025

扫描看全文

张秀英, 王雪峰, 单红梅, 等. 王雪峰教授治疗儿童难治性肾病经验探析[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13194/j.issn.1673-842x.2020.04.025

ZHANG Xiuying, WANG Xuefeng, SHAN Hongmei, et al. WANG Xuefeng Professors's Experience in Treating the Refractory Nephritic Syndrome in Children[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13194/j.issn.1673-842x.2020.04.025
张秀英, 王雪峰, 单红梅, 等. 王雪峰教授治疗儿童难治性肾病经验探析[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13194/j.issn.1673-842x.2020.04.025 DOI：

ZHANG Xiuying, WANG Xuefeng, SHAN Hongmei, et al. WANG Xuefeng Professors's Experience in Treating the Refractory Nephritic Syndrome in Children[DB/OL].（2023-09-15）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.13194/j.issn.1673-842x.2020.04.025 DOI：

摘要

难治性肾病（Refractory Nephritic Syndrome，RNS）是儿科较为棘手的泌尿系统疾病，王雪峰教授基于对气与火的理解，根据《黄帝内经》中“少火生气，壮火食气”理论，对RNS的病机演变有了新的认识，提出清热益气养阴为治疗小儿难治性肾病的基本治疗大法，并逐步揭示RNS激素疗法中会依次出现“壮火（壮火内炽）”“壮火食气”及“气食少火（少火不足）”三个阶段。其认为“壮火食气”是激素依赖型肾病及频复发型肾病的病机关键，而维持机体“少火生气”是本病的治疗重点。在临床中要综合分析RNS的病程及病情变化规律，运用“少火生气”这一理念引导辨证论治、立法处方以减轻激素的副作用及防止RNS复发。

Abstract

Pediatric refractory nephritic syndrome (RNS) is a more difficult urinary tract disease in pediatrics, professor WANG Xuefeng based on understanding of gas and fire, according to ,Inner Canon of Huangdi, of "strong fire consuming Qi" theory, a new understanding of pathogenesis of RNS evolution, the basic treatment of RNS by heat clearing, Qi nourishing and Yin nourishing were proposed, the three stages of "strong fire" "strong fire consuming Qi" and "Qi consuming junior fire" were revealed in the RNS hormone therapy. Professor WANG Xuefeng believes that "strong fire consuming Qi" is the key to the pathogenesis of steroid dependent nephropathy syndrome and frequently relapsing nephritic syndrome, and maintain the body's "junior fire supporting vital Qi" is the treatment of the disease. To comprehensive analysis of RNS in clinical course of the disease and illness change rule, using the "junior fire supporting vital Qi" this concept to guide treatment based on syndrome differentiation, legislative prescription in order to reduce the side effect of hormone and prevent the recurrence of RNS.

关键词

难治性肾病激素依赖型肾病频复发型肾病少火生气壮火食气

Keywords

refractory nephritic syndromefrequently relapsing nephritic syndromesteroid dependent nephritic syndromejunior fire supporting vital Qistrong fire consuming Qi

references

中华医学会儿科学分会肾脏病学组. 儿童常见肾脏疾病诊治循证指南(一)：激素敏感、复发/依赖肾病综合征诊治循证指南(试行)[J]. 中华儿科杂志, 2009, 47(3): 167-170.

KOSKIMIES O, VILSKA J, RAPOLA J, et al. Long-term outcome of primary nephrotic syndrome[J]. Arch Dis Child, 1982, 57(7): 544-548.

TARSHISH P, TOBIN JN, BERNSTEIN J, et al. Prognostic significance ofthe early course of minimal change nephrotic syndrome: report of the International Study of Kidney Disease in Children[J]. J Am Soc Nephrol, 1997, 8(5): 769-776.

TARSHISH P, TOBIN JN, BERNSTEIN J, et al. Prognostic significance ofthe early course of minimal change nephroticsyndrome: report of the International Study of Kidney Disease in Children[J]. J Am SocNephrol, 1997, 8(5): 769-776.

LOMBEL RM, GIPSON D, SAND HODSON EM. Treatment ofsteroid-sensitive nephrotic syndrome: new guidelines fromKDIGO[J]. Pediatr Nephrol, 2013, 28(3): 415-426.

夏正坤, 金玉, 鹿玲, 等. 儿童常见肾脏疾病诊治循证指南(试行)解读(三)：激素耐药型肾病综合征诊治[J]. 中华儿科杂志, 2010, 48(1): 76-78.

柴茂山. 小儿难治性肾病中医三步治疗法[J]. 中国中医基础医学杂志, 1999, 5(10): 44-45.

戴恩来, 孙红旭, 李建省. 刘宝厚教授治疗难治性肾病综合征的用药经验[J]. 中国中西医结合肾病杂志, 2006, 7(2): 67-68.

聂莉芳. 难治性肾病综合征的中医辨治经验[J]. 中医杂志, 2005, 16(1): 61-62.

严红梅, 张赤志. 中医论“火”[J]. 光明中医, 2007, 22(6): 7-9.

余斐, 孙伟. 孙伟教授治疗难治性肾病综合征的临床经验[J]. 中国中西医结合肾病杂志, 2014, 15(12): 1039-1042.

任玉娇, 张伟. 从补肾益气论防治糖皮质激素的不良反应[J]. 中医杂志, 2016, 57(15): 1345-1347.

甘宁峰, 黄贵华. 中医对糖皮质激素类药物的认识[J]. 广西中医药, 2008, 31(2): 40-41.

叶任高. 肾病综合征的中西医结合治疗[J]. 江苏中医, 1999, 20(11): 3-4.

潘曌曌, 史正刚. 医源性皮质醇增多症研究述略[J]. 中医药学刊, 2004, 22(4): 643-658.

刘晓鹰, 倪珠英, 龚红卫. 小儿肾病综合征中医分段治疗法[J]. 湖北中医学院学报, 2003, 5(2): 31-32.

中华医学会儿科学分会肾脏病学组. 小儿肾小球疾病的临床分类、诊断及治疗[J]. 中华儿科杂志, 2001, 39(12): 746-749.

李永清. 糖皮质激素的药理作用及不良反应[J]. 北方药学, 2013, 10(11): 32-33.

王学叶. 糖皮质激素的不良反应[J]. 临床和实验医学杂志, 2008, 7(10): 133-134.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

邓铁涛运用“少火生气”理论治疗心血管疾病经验