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痛风性肾病的辨机论治
引用本文:张向伟,柳红芳,胡济源,刘怡秀,南茜,谢惠迪.痛风性肾病的辨机论治[J].北京中医药大学学报,2017,40(9).
作者姓名:张向伟  柳红芳  胡济源  刘怡秀  南茜  谢惠迪
作者单位:北京中医药大学 北京100029;北京中医药大学东直门医院;安徽中医药大学
基金项目:国家中医药管理局中医临床研究基地科研专项(No.JDZX2015305)Special Subject of Clinical Research Base of State Administration of Traditional Chinese Medicine
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

Pathogenesis differentiation and treatments of gouty nephropathy
ZHANG Xiangwei,LIU Hongfang,HU Jiyuan,HU Yixiu,NAN Qian,XIE Huidi.Pathogenesis differentiation and treatments of gouty nephropathy[J].Journal of Beijing University of Traditional Chinese Medicine,2017,40(9).
Authors:ZHANG Xiangwei  LIU Hongfang  HU Jiyuan  HU Yixiu  NAN Qian  XIE Huidi
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.
Keywords:gouty nephropathy  pathogenesis of disease  pathogenesis of pattern  pathogenesis of symptom
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