ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (4): 363-356.doi: 10.3969/j.issn.16743865.2018.04.028

• 临证心得 • 上一篇    下一篇

从瘀论治紫癜性肾炎临证经验浅析

许爽,任献青   

  1. 450000 郑州,河南中医药大学2016级中医儿科专业研究生(许爽);河南中医药大学第一附属医院儿科(任献青)
  • 出版日期:2018-08-25 发布日期:2018-12-03
  • 通讯作者: 任献青,E-mail:1097500652@qq.com
  • 作者简介:许爽(1990-),女,河南中医药大学2016级硕士研究生在读。研究方向:小儿肾病的中医治疗

Analysis of the clinical experience in treating Henoch-Schonlein purpura nephritis based on stasis

XU Shuang,REN Xianqing   

  1. Henan University of Traditional Chinese Medicine, Zhengzhou 450000, China
  • Online:2018-08-25 Published:2018-12-03

摘要:
过敏性紫癜肾炎为儿科临床疑难疾病,导师任献青教授认为紫癜性肾炎中医病机以热、虚、瘀为主,以“瘀”为要,并提出在清热疏风、益气养阴的基础上,以活血化瘀疗法贯穿始末。临证中采用中医辨证论治、突出活血化瘀法可预防肾脏损伤。善于灵活联合应用雷公藤多甙片及阿魏酸哌嗪片以改善血液高凝状态,临床疗效显著。

关键词: 紫癜性肾炎, 瘀, 儿童

Abstract:
Henoch-Schonlein purpura nephritis(HSPN)is a difficult clinical disease in pediatrics. Professor Ren Xianqing thinks that the main pathogenesis of HSPN is heat,deficiency and stasis,and stasis is the mostimportant one. The treatment of activating blood and removing stasis should be used through the course,which is on the basis of "clearing heat and dispersing wind,benefiting qi and tonifying yin". Clinically,he proposes that using TCM syndrome differentiation and paying attention to the treatment of activating blood and removing stasis during the course of clinical treatment can prevent renal injury. Besides,the combination of Tripterygium Glycosides tablet and Piperazine Ferulate tablets can be used as needed during the treatment to improve blood hypercoagulability,which has prominent curative effect.

Key words: Henoch-Schonlein purpura nephritis, Stasis, \Child