米杰从湿热瘀毒论治乙型肝炎病毒相关性肾炎经验
MI Jie's Experience in Treating Hepatitis B Virus-associated Glomerulonephritis
DOI:10.16294/j.cnki.1007-659x.2019.03.016
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1.山东中医药大学中医学院,山东 济南 250355
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李宇晴, 米杰. 米杰从湿热瘀毒论治乙型肝炎病毒相关性肾炎经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.03.016
LI Yuqing, MI Jie. MI Jie's Experience in Treating Hepatitis B Virus-associated Glomerulonephritis[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.03.016
李宇晴, 米杰. 米杰从湿热瘀毒论治乙型肝炎病毒相关性肾炎经验[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.03.016 DOI:
LI Yuqing, MI Jie. MI Jie's Experience in Treating Hepatitis B Virus-associated Glomerulonephritis[DB/OL].(2023-09-15)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails#10.16294/j.cnki.1007-659x.2019.03.016 DOI:
米杰教授认为乙型肝炎病毒相关性肾炎(HBV-GN)总属本虚标实,先天禀赋不足而肾虚,气化无权,后天失养而脾胃虚,健运失司;标实以湿热为主,兼以瘀毒。正气不足,邪气偏盛,正邪交争,机体抗邪无力,邪盛正衰,由实致虚,虚实夹杂。湿、热、瘀、毒互结致病,贯穿整个病程,涉及肝脾肾三脏,肝经瘀热,脾虚湿停,肾失封藏,肝脾肾三脏俱病,病程日久,肝脾肾及气血阴阳俱虚,湿热瘀血缠绵难去,不断耗伤正气,使虚则更虚,病情迁延难愈。治疗上扶正祛邪为原则,以清热利湿、活血祛瘀解毒为治法,标本兼治;以茵陈赤小豆汤加减为主方,辨证施治,随症加减,收效颇著。
Prof. MI Jie believes that hepatitis B virus-associated glomerulonephritis (HBV-GN) belongs to deficient root and excessive branch. Kidney deficiency caused by insufficient innate endowment failing in qi transformation leads to acquired malnutrition and failure of transportation of the deficient spleen and stomach. The excessive branch is based on dampness-heat, combined with stasis-toxin. Insufficient healthy qi and excessive pathogenic qi, the struggle between healthy qi and pathogenic qi leads to the body's low resistance to pathogenic qi, excessive pathogenic qi and deficient healthy qi. Excess causes deficiency and deficiency-excess in complexity. Most of the diseases are caused by dampness-heat and stasis-toxin, which affects the entire course of the disease, involving three zang-organs of the liver, spleen and kidney, such as stagnated heat in liver meridian, spleen deficiency with dampness retention, failure of kidney storing essence. Over time, the liver, spleen, kidney, qi, blood, yin and yang are all deficient, the lingering dampness, heat and stasis consume the healthy qi continuously leading to more deficient conditions which is difficult to be cured. In terms of treatment, reinforcing healthy qi to eliminate pathogenic factors is the main treatment principle. Clearing away heat, eliminating dampness, activating blood, resolving stasis and detoxifying are the main treatment methods. Treating the branch and the root simultaneously. Yinchen Chixiaodou Decoction is the main prescription, using syndrome differentiation and treatment, adding and subtracting according to symptoms with good effects.
乙型肝炎病毒相关性肾炎湿热瘀毒清热利湿活血祛瘀解毒茵陈赤小豆汤米杰名医经验
hepatitis B virus-associated glomerulonephritisdampness-heat and stasis-toxinclearing away heat and eliminating dampnessactivating blood resolving stasis and detoxifyingYinchen Chixiaodou DecoctionMI Jieexperience of famous doctor
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