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慢性肾炎的中医辨证分型与肾活检病理关系的初步探讨
引用本文:施赛珠,张玲娟.慢性肾炎的中医辨证分型与肾活检病理关系的初步探讨[J].中国中西医结合杂志,1984(7):414-416,388.
作者姓名:施赛珠  张玲娟
作者单位:上海第一医学院华山医院中医科,上海第一医学院华山医院中医科
摘    要:本文通对43例慢性肾炎进行了中医辨证分型与肾穿刺活检病理之间的对比观察,说明慢性肾炎造成不同辨证分型是有不同物质基础的。本文还对慢性肾炎的中西医结合分型方法提出一些刍见。

关 键 词:中医辨证分型  慢性肾炎  病理关系  肾活检  肾穿刺活检  免疫球蛋白  肝肾阴虚型  脾肾阳虚型  中西医结合  系膜增生性肾炎

A Preliminary Study on the Correlation Between Types of Chronic Glomerulonephritis Classified by TCM and Pathologic Findings of Renal Biopsy
Authors:Shi Saizhu and Zhang Lingjuan
Abstract:Forty-three cases of chronic glomerulonephritis have been studied.14 of 18 patients with mesangial proliferative glomerulonephritis belong to the type of deficiency of Yin of liver and kidney(DYLK).Most patients with membranous and membranoproliferative glomerulonephritis are found to be of the type of insufficiency of Yang of the spleen and kidney(IYSK).The correlation between clinical manifestations and classification of symptom-complexes based on TCM has been analysed.The quantity of proteinuria in patients with IYSK is markedly higher than that in patients with DYLK,while the quantity of serum immunoglobulin in patients with IYSK is lower than that in patients with DYLK.The incidence of hematuria and hypertension is high in patients with DYLK.It indicates that there are different pathologic findings in various types of chronic glomerulonephritis classified by TCM.The methodology of classification with a combination of traditional Chinese medicine and western medicine is discussed in this paper.
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