主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2017, Vol. 40 ›› Issue (9): 790-792.doi: 10.3969/j.issn.1006-2157.2017.09.014

• 临床研究 • 上一篇    

痛风性肾病的辨机论治*

张向伟1,柳红芳2#,胡济源3,刘怡秀1,南茜1,谢惠迪1   

  1. 1 北京中医药大学 北京 100029;
    2 北京中医药大学东直门医院;
    3 安徽中医药大学
  • 收稿日期:2017-04-10 出版日期:2017-09-10 发布日期:2017-09-10
  • 通讯作者: 柳红芳,女,博士,主任医师,博士生导师 ,研究方向:肾病内分泌疾病的中医治疗,E-mail:lhfdoctor@126.com
  • 作者简介:张向伟,男,在读博士生
  • 基金资助:
    *国家中医药管理局中医临床研究基地科研专项(No. JDZX2015305)

Pathogenesis differentiation and treatments of gouty nephropathy*

ZHANG Xiangwei1, LIU Hongfang2#, HU Jiyuan3, LIU Yixiu1, NAN Qian1, XIE Huidi1   

  1. 1 Beijing University of Chinese Medicine, Beijing 100029, China;
    2 Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China;
    3 Anhui University of Traditional Chinese Medicine, Anhui 230012, China
  • Received:2017-04-10 Online:2017-09-10 Published:2017-09-10
  • Supported by:
    Special Subject of Clinical Research Base of State Administration of Traditional Chinese Medicine (No. JDZX2015305)

摘要: 浊瘀痹阻肾络是痛风性肾病的特有病机,贯穿疾病全程,是痛风性肾病有别于其他慢性肾脏病的病机特点,决定了证候、症状的发生与发展方向,亦为不同证候所共有的病机。证候病机是痛风性肾病辨证论治的主体,早期多实,晚期多虚,以湿热瘀阻,脾肾亏虚为常见。症状病机是症状产生的直接病机,痛风性肾病针对症状采用对症治疗可增强辨病、辨证的治疗效果。

关键词: 痛风性肾病, 疾病病机, 证候病机, 症状病机

Abstract: The obstruction of kidney collaterals by turbid and blood stasis is a characteristic pathogenesis of gouty nephropathy, which runs throughout the whole process of the disease. The pathogenesis of disease of gouty nephropathy is different from that of other chronic kidney diseases, determines the occurrence and development direction of patterns and symptoms, and is the common pathogenesis behind different patterns. The pathogenesis of pattern is the main body of pattern differentiation and treatment of gouty nephropathy, damp-heat obstruction and spleen-kidney deficiency and is the pathogenesis base of same treatment for different diseases. The pathogenesis of symptoms is a direct pathogenesis induced by symptoms. In treatment of gouty nephropathy, symptomatic treatment can improve the therapeutic effects based on disease and pattern differentiations.

Key words: gouty nephropathy, pathogenesis of disease, pathogenesis of pattern, pathogenesis of symptom

中图分类号: 

  • R259.897