本文選題：濕熱型慢性腎炎　切入點：清熱利濕活血法　出處：《遼寧中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：慢性腎炎是西方醫(yī)學慢性腎小球腎炎的簡稱,是一種常見的腎臟內(nèi)科疾病,祖國醫(yī)學根據(jù)其癥狀及體征,認為其歸屬“腰痛”“水腫”范疇,并將其分為五個證型:氣虛型、陽虛型、陰虛型、濕熱型及瘀血型,其中以濕熱型最為常見,常多因勞累、外感等因素復發(fā)或加重,病情變化多端,病程遷延難愈,給病患帶來極大的身體及心理負擔。馬進老師經(jīng)過多年臨床實踐,對濕熱型慢性腎炎的發(fā)生、發(fā)展與治療方法均提出了自己的觀點:老師認為內(nèi)在、外在等多種復雜因素交錯作用導致肺、脾、腎三臟陰陽失衡為本病發(fā)病和病程遷延的內(nèi)在基礎,而濕熱之邪不僅是本病發(fā)生的病理因素,又是病程遷延難愈的重要致病因素,貫穿病程始終,證屬本虛標實;治療上提出在平衡肺、脾、腎三臟陰陽基礎上,以清熱利濕活血為治療大法的思想,標本兼治,固利兼施。針對濕熱型慢性腎炎不同的誘發(fā)因素,考慮患者不同的病程差異,根據(jù)患者病情不同的輕重程度,區(qū)別患者不同的生活習慣,巧妙的運用中醫(yī)整體觀念、辨證論治思想,平衡臟腑陰陽以扶正固本,促進病情恢復及減少復發(fā),清熱利濕活血以祛除濕熱之邪及其所產(chǎn)生的“瘀”,兼之固攝之劑以酸澀斂精,臨床療效顯著。
[Abstract]:Chronic glomerulonephritis is the abbreviation of chronic glomerulonephritis in western medicine, and it is a common medical disease of kidney. According to its symptoms and signs, Chinese medicine considers it to belong to the category of "low back pain" and "edema" and divides it into five syndromes: deficiency of qi. Yang deficiency type, yin deficiency type, damp-heat type and blood stasis type, in which damp-heat type is the most common type. After many years of clinical practice, teacher Ma Jin put forward his own views on the occurrence, development and treatment of chronic nephritis of damp-heat type. The imbalance of yin and yang of lung, spleen and kidney caused by complex factors such as external factors is the internal basis of the pathogenesis and duration of the disease. The evil of dampness and heat is not only the pathological factor of the disease, but also the important pathogenic factor of the course of disease which is difficult to heal. Throughout the course of the disease, the syndromes belong to the original deficiency and the solid. On the basis of balancing the lung, spleen, kidney, yin and yang, the idea of clearing heat, promoting dampness and activating blood circulation is proposed to treat both the symptoms and the symptoms. According to the different inducing factors of damp-heat chronic glomerulonephritis, considering the different course of disease of the patients, according to the different degree of severity of the patients' condition, distinguishing the different living habits of the patients, skillfully using the whole concept of traditional Chinese medicine. The thought of syndrome differentiation and treatment, the balance of zang-fu organs, yin and yang to strengthen the essence, to promote the recovery of the disease and to reduce the recurrence, to clear heat and dampness and activate blood circulation to remove the evil of dampness and heat and its "blood stasis", and to consolidate the essence with acerbity and astringency, the clinical curative effect is remarkable.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R249;R277.5
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本文編號：1592778