王暴魁教授补肾祛风法治疗特发性膜性肾病经验举隅

摘要

Idiopathic membranous nephropathy is one of the common pathology of nephrotic syndrome.Traditional Chinese medicine is in some measure advantageous to its treatment.In professor Wang Baokui's view,the nature of idiopathic membranous nephropathy is deficiency in the root and excess in the superficiality,the main pathological mechanism are kidney deficiency and wind as a pathological factor,and the basic treating method should be tonifying kidney and expelling wind.Radix astragali,corni froctus,rhizome dioscorea nipponica are usually used clinically.During the remitting stage of idiopathic membranous nephropathy,special attention should be paid to the prevention of respiratory tract infection.The curative effect is clinically proven to be outstanding,enriching the treatment methodology based on pattern differentiation of idiopathic membranous nephropathy.%特发性膜性肾病是原发性肾病综合征常见的病理类型之一,中医药治疗本病具有一定优势.王暴魁教授认为特发性膜性肾病病性本虚标实,肾虚、风邪是本病的病机核心,治疗以补肾祛风为大法,临床中常选用黄芪、山莱萸、穿山龙等药物,在疾病缓解期特别注意上呼吸道感染的预防.临床证实疗效显著,丰富了本病的辨证论治思路.