摘要
目的:对近30年来中医药治疗慢性肾小球肾炎(CGN)蛋白尿的相关报道进行分析,探讨CGN蛋白尿的证素分布及组合规律,以期对中医药诊断治疗CGN蛋白尿规范化提供依据。方法:运用计算机检索CNKI中医药治疗CGN蛋白尿的相关文献,对其病性、病位证素的分布及组合规律进行统计和分析。结果:CGN蛋白尿的病位证素依次为肾、脾、肺、肝;病性证素依次为气虚、阳虚、瘀血、阴虚、湿热、湿、精泄(亏)、热邪、风邪、水邪、气郁、风热、风寒、血虚、痰热;病性总属本虚标实;常见证素组合11个,其中气阴两虚、肾阴虚、脾肾气虚、肝肾阴虚频次占前四位。结论:CGN蛋白尿以肾、脾亏虚(气虚、阳虚)为本,以瘀血、湿热、湿浊、痰浊等为标。临床以气阴两虚、肾阴虚、脾肾气虚、肝肾阴虚等证较为常见。
Objective： To explore the combination and distribution of syndrome elements of proteinuria which was induced by chronic glomerulonephritis （CGN） through analyzing associated reports of TCM in treating CGN in recent 30 years, therefore to provide reference for the standardization of the treatment. Method： The distribution and combination of the nature and location elements were counted and analyzed by searching associated papers about TCM in treating CGN proteinuria from CNKI. Result： The location elements of CGN proteinuria were kidney, spleen, lung and liver; the nature elements were Qi deficiency, Yang deficiency, blood stasis, Yin deficiency, damp- ness-heat, dampness, essence depletion, heat, wind, water, Qi stagnation, wind-heat, wind-coldness, blood insuffi- ciency and phlegm-heat; the nature of the disease was asthenia in origin and sthenia in superficiality; there were eleven common syndrome elements combination and the top four frequencies were dual deficiency of Qi and Yin, re- nal Yin deficiency, Qi deficiency of spleen and kidney, Yin deficiency of liver and kidney. Conclusion： The root of CGN proteinuria was depletion of kidney and spleen （Qi deficiency, Yang deficiency）, the superficiality was blood stasis, dampness-heat, dampness-turbidity, phlegm turbidity and others. The common syndromes were dual deficien- cy of Qi and Yin, kidney Yin deficiency, Qi deficiency of spleen and kidney, Yin deficiency of liver and kidney.
出处
《西部中医药》
2013年第4期59-61,共3页
Western Journal of Traditional Chinese Medicine
关键词
蛋白尿
肾小球肾炎
证素
文献研究
proteinuria, glomerulonephritis
syndrome elements
literature study
