小儿原发性肾病综合征中医辨证施治的临床思维

中医药辨治小儿原发性肾病综合征在治则、治法上形成了独特的临床思维模式。在治疗小儿肾病临证中应紧扣“本虚标实”的病机,以扶正培本、祛邪治标为基本法则,并以扶正为主。在具体临证中应采用辨证分型论治,首先明辨标本虚实,本证以脾肾两虚为核心,标证以风、湿、瘀为重点。

Clinical Thought of Treatment of Pediatric Primary Nephrotic Syndrome Based on Syndrome Differentiation

It has formed a unique clinical thought mode in therapeutical principle and method of treatment of pediatric primary nephrotic syndrome based on syndrome differentiation.In treatment of pediatric kidney diseases based on syndrome differentiation,it must be according to the pathogenesis of "asthenia in origin and asthenia in superficiality",made strengthening vital qi to bank up the root and eliminating pathogenic factor to cure the manifestation as the basic rule,mainly with the method of strengthening vital qi.In clinic,it should determine treatment on the basis of pattern types based on syndrome differentiation,first clear the manifestation and root cause of disease and the excess and deficiency,the root of disease takes asthenia of both the spleen and kidney as core,and the manifestation of disease takes wind,damp and blood stasis as the key.