|
|
Experience of Professor Lü Renhe’s “six diagnosis and treatment methods” in the treatment of idiopathic membranous nephropathy |
ZHANG Zhengmei1 SHEN Zilong2 WANG Meijie1 LIAO Chunman1 YANG Ke1 HE Junbo1 LI Jing1 |
1.Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China;
2.Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing 100010, China
|
|
|
Abstract In the long-term clinical practice, under the guidance of the holistic view of traditional Chinese medicine and the thought of syndrome differentiation and treatment, combines with western medicine’s understanding of idiopathic membranous nephropathy, Professor Lü Renhe, a traditional Chinese medicine master, summarizes and puts forward the “six diagnosis and treatment methods” for disease differentiation and treatment. Specifically, it includes disease treatment, disease stage syndrome differentiation, disease syndrome differentiation, syndrome differentiation, symptom differentiation, disease differentiation and syndrome differentiation combined. The “six diagnosis and treatment methods” embodies Professor Lü Renhe’s clinical thinking of traditional Chinese medicine, which attaches importance to disease differentiation, stage differentiation of syndrome, combination of disease, and syndrome, and equal emphasis on disease-syndrome-symptom. The application of “six diagnosis and treatment methods” in the differentiation of idiopathic membranous nephropathy can optimize the clinical thinking and improve the clinical effect.
|
|
|
|
|
[1] G?觟kalp C,Aygun G,Dogan AF,et al. Idiopathic membranous nephropathy preceding membranous lupus nephritis:a case report [J]. Lupus,2020,29(3):340-343.
[2] 刘英杰,张启东,郭维康,等.北京地区单中心2008~2018年特发性膜性肾病流行病学变迁[J].临床和实验医学杂志,2019,18(2):181-183.
[3] Hou J,Zhu H,Zhou M,et al. Changes in the spectrum of kidney diseases:An analysis of 40,759 biopsy-proven cases from 2003 to 2014 in China [J]. Kidney Dis(Basel),2018,4(1):10-19.
[4] 潘阳彬,万建新.原发性膜性肾病的诊治进展[J].世界临床药物,2018,39(2):73-79.
[5] 赵进喜,王世东,肖遥.吕仁和:有中医思维特色的“六对论治”[N].健康报,2018-03-28(005).
[6] 刘维维,冷伟,杨钊田,等.基于数据挖掘的中医药治疗膜性肾病的组方用药规律研究[J].中国医药导报,2021, 18(17):149-152.
[7] Xu X,Wang G,Chen N,et al. Long-Term Exposure to Air Pollution and Increased Risk of Membranous Nephropathy in China [J]. J Am Soc Nephrol,2016,27(12):3739-3746.
[8] 潘晔,殷佳,蔡雪朦,等.雾霾及PM2.5的中医认识及治疗探讨[J].天津中医药大学学报,2017,36(2):96-99.
[9] 张惜燕,邢玉瑞,李翠娟,等.论雾霾致病[J].中华中医药杂志,2020,35(3):1148-1151.
[10] 项协隆,邵思思,陈宇,等.黄芪甲苷对被动型Heymann肾炎大鼠PERK通路的影响[J].新中医,2018,50(4):10-14.
[11] 张芬芳,艾雨,陈志强,等.宣通三焦、活血通络方治疗特发性膜性肾病的临床疗效观察[J].中华中医药杂志,2020,35(3):1596-1598.
[12] 高明月,马进.抗肾间质纤维化研究进展[J].实用中医内科杂志,2021,35(4):138-141.
[13] 汪义明,邓剑雅.“血不利则为水”理论阐发与研究概述[J].成都中医药大学学报,2021,44(2):27-30.
[14] 余小波.“血不利则为水”指导肾性水肿治疗探讨[J].国医论坛,2021,36(5):7-9.
[15] 谌贻璞.肾内科学[M].北京:人民卫生出版社,2015:39-47.
[16] 郭晓媛,蔡月茹,王暴魁,等.扶正祛风方对膜性肾病大鼠蛋白尿及肾脏病理改变的影响[J].中国实验方剂学杂志,2018,24(1):136-141.
[17] 史琦孙科.吕仁和教授从风论治慢性肾炎药对浅析[D].北京:北京中医药大学,2010.
[18] 郭晓媛,王暴魁.特发性膜性肾病的中医药实验研究进展[J].中华中医药杂志,2018,33(1):226-229.
[19] 李潇然,王世东,吕仁和,等.基于关联规则算法和复杂系统熵聚类的吕仁和教授治疗慢性肾衰竭经验研究[J].现代中医临床,2016,23(3):9-13.
[20] 王颖航,潘至,王耀献.肾络癥瘕分子病理基础的诠释[J].北京中医药大学学报,2006,29(5):302.
[21] 傅强,黄为钧,王世东,等.吕仁和运用“六对论治”法治疗神经源性膀胱经验[J].中医杂志,2017,58(19):1633-1637.
[22] 王鑫.吕仁和教授临证经验及学术思想浅析[D].北京:北京中医药大学,2013.
[23] 申子龙,张正媚.清胃散加味治疗急性牙髓炎一例[N].中国中医药报,2020-05-22(005).
[24] 吕仁和,赵进喜.糖尿病及其并发症中西医诊治学[M].北京:人民卫生出版社,2009:429-435.
[25] 文亮亮.吕仁和教授“六对论治”消渴病肾病医案浅析[D].北京:北京中医药大学,2016. |
|
|
|