黄春林教授以“五脏相关”理论辨治IgA肾病经验

陈意; 蔡玉媛; 余浩凯; 邹川

doi:10.14148/j.issn.1672-0482.2023.1049

黄春林教授以“五脏相关”理论辨治IgA肾病经验

doi: 10.14148/j.issn.1672-0482.2023.1049

陈意^1,,
蔡玉媛¹,
余浩凯¹,
邹川^2, ,

1.
广州中医药大学第二临床医学院, 广东广州 510405
2.
广州中医药大学第二附属医院, 广东广州 510120

基金项目:

国家中医药管理局黄春林全国名老中医传承工作室项目 2012KT1301

国家自然科学基金面上项目 81873142

详细信息

作者简介:
陈意，女，硕士研究生，E-mail: forver112022@163.com

通讯作者:
邹川，男，主任医师，博士生导师，主要从事中医药治疗肾脏病的研究，E-mail: doctorzc541888@126.com

中图分类号: R249
计量
- 文章访问数: 83
- HTML全文浏览量: 6
- PDF下载量: 10
- 被引次数: 0
出版历程
- 收稿日期: 2023-05-29
- 网络出版日期: 2023-11-10
- 发布日期: 2023-10-10

Professor Huang Chunlin's Experience in Treating IgA Nephropathy with the Theory of "Correlation between the Five Viscera"

CHEN Yi^1
,,
CAI Yu-yuan¹,
YU Hao-kai¹,
ZOU Chuan^{2
, ,}

1.
The Second Clinical Medical School of Guangzhou University of Chinese Medicine, Guangzhou 510405, China
2.
The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China

摘要

摘要: 总结黄春林教授以“五脏相关”理论辨治IgA肾病经验, 认为IgA肾病的病位虽主要在肾与膀胱，但与肺、脾、心、肝等脏密切相关。病因可归纳为外感和内伤两方面, 其中外感多因风、热、湿等邪毒侵袭人体; 内伤多责之于脏腑功能的失调。病机核心在于肾气不固, 肾中阴阳失调，气机升降失常，易外感内生病邪，标实邪气循经累及肾络, 导致固摄无权, 精血外溢, 引发IgA肾病。治疗应从“以肾为本、五脏相关”的整体观出发, 结合影响IgA肾病的发病、进展、难治因素及并发症进行辨证论治。
- IgA肾病 /
- 五脏相关 /
- 整体观念 /
- 黄春林 /
- 名医经验
Abstract: The article summarizes Professor Huang Chunlin's experience in treating IgA nephropathy with the theory of "correlation between the five viscera" and proposes that although the disease location of IgA nephropathy is mainly in the kidney and bladder, it is closely related to the lungs, spleen, heart, liver and other organs. The etiology and pathogenesis can be summarized into two aspects: external infection and internal injury, among which external infection is often caused by pathogenic toxins such as wind, heat, and dampness invading the human body; internal injuries are often attributed to dysfunction of viscera. The core of the pathogenesis is that the kidney qi is not solid, the yin and yang in the kidney are out of balance, and the movement of qi is abnormally ascending and descending, which can easily lead to external and internal pathogenic factors. The excess of evil qi along the meridians can affect the kidney meridians, resulting in powerlessness in constraint, overflow of essence and blood, leading to IgA nephropathy. The treatment should start from a holistic perspective of "kidney-based and five-viscera-related", and be dialectical based on the onset, progression, refractory factors and complications that affect IgA nephropathy.
- IgA nephropathy /
- five-viscera-related /
- holistic perspective /
- Huang Chunlin /
- famous doctor experience

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参考文献(18)

[1]	PATTRAPORNPISUT P, AVILA-CASADO C, REICH HN. IgA nephropathy: Core curriculum 2021[J]. Am J Kidney Dis, 2021, 78(3): 429-441. doi: 10.1053/j.ajkd.2021.01.024
[2]	陈香美, 邓跃毅, 谢院生. IgA肾病西医诊断和中医辨证分型的实践指南[J]. 中国中西医结合杂志, 2013, 33(5): 583-585. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201305005.htm CHEN XM, DENG YY, XIE YS. Practice guide of western medicine diagnosis and TCM syndrome differentiation of IgA nephropathy[J]. Chin J Integr Tradit West Med, 2013, 33(5): 583-585. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZXJ201305005.htm
[3]	刘小斌, 邱仕君, 郑洪, 等. 邓铁涛"五脏相关"理论研究[J]. 中国中医基础医学杂志, 2008, 14(1): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC200801009.htm LIU XB, QIU SJ, ZHENG H, et al. Study on Deng Tietao's theory of "five Zang-organs correlation"[J]. Chin J Basic Med Tradit Chin Med, 2008, 14(1): 20-22. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC200801009.htm
[4]	王冰. 黄帝内经素问[M]. 上海: 商务印书馆, 1955: 47. WANG B. The Yellow Emperor's Inner Classic: Basic Questions[M]. Shanghai: The commercial press, 1955: 47.
[5]	李用粹. 证治汇补[M]. 北京: 人民卫生出版社, 2006: 376. LI YC. A Compilation of the Diagnosis and Treatment[M]. Beijing: People's medical publishing house, 2006: 376.
[6]	王肯堂. 证治准绳[M]. 北京: 人民卫生出版, 2014: 160. WANG KT. Standards for Diagnosis and Treatment[M]. Beijing: People's medical publishing house, 2014: 160.
[7]	灵枢经[M]. 北京: 人民卫生出版社, 2012: 44, 200. The Spiritual Pivot[M]. Beijing: People's medical publishing house, 2012: 44, 200.
[8]	巢元方. 诸病源候论[M]. 北京: 人民军医出版社, 2006: 285. CHAO YF. Treatise on the Origins and Manifestations of Various Diseases[M]. Beijing: People's military medical publishing house, 2006: 285.
[9]	陈士铎. 外经微言[M]. 北京: 中国古籍出版社, 1984: 133. CHEN SD. Elaboration on External Classic[M]. Beijing: China ancient book publishing house, 1984: 133.
[10]	朱震亨. 丹溪心法[M]. 北京: 中国中医药出版社, 2008: 133. ZHU ZH. Teachings of Dan-xi[M]. China press of traditional Chinese medicine, 2005.
[11]	李宗梓. 医宗必读[M]. 太原: 山西科学技术出版社, 2006: 12. LI ZZ. Required Readings from the Medical Ancestors[M]. Taiyuan: Shanxi science and technology press, 2006: 12.
[12]	唐宗海. 血证论[M]. 北京: 中国医药科技出版社. 2018: 4, 10. TANG ZH. Treatise on Blood Syndromes[M]. Beijing: China medical science press, 2018: 4, 10.
[13]	张介宾. 景岳全书[M]. 北京: 中国中医药出版社, 1994: 359, 271. ZHANG JB. The Complete Works of Jing-yue[M]. Beijing: China press of traditional Chinese medicine, 1994: 359, 271.
[14]	张仲景. 金匮要略[M]. 北京: 中国医药科技出版社, 2018: 36. ZHANG ZJ. Essentials from the Golden Cabinet[M]. Beijing: China medical science press, 2018: 36.
[15]	朱震亨. 格致余论[M]. 北京: 中国医药科技出版社, 2018: 49. ZHU ZH. Further Discourses on the Acquisition of Knowledge through Profound Study[M]. Beijing: China medical science press, 2018: 49.
[16]	张荣玲, 林灶强, 陈义珍, 等. 黄春林教授治疗IgA肾病血尿致急性肾损伤的中医药思路和策略[J]. 中国中西医结合肾病杂志, 2021, 22(11): 1018-1020. https://www.cnki.com.cn/Article/CJFDTOTAL-JXSB202111022.htm ZHANG RL, LIN ZQ, CHEN YZ, et al. Professor Huang Chunlin's thoughts and strategies of traditional Chinese medicine in treating acute renal injury caused by hematuria in IgA nephropathy[J]. Chin J Integr Tradit West Nephrol, 2021, 22(11): 1018-1020. https://www.cnki.com.cn/Article/CJFDTOTAL-JXSB202111022.htm
[17]	邹万忠. 肾活检病理学[M]. 4版. 北京: 北京大学医学出版社, 2017: 135-144. ZOU WZ. Pathology of Renal Biopsy[M]. 4th ed. Beijing: Peking university medical press, 2017: 135-144.
[18]	徐贤琦, 卓若君, 华俏丽, 等. 黄春林应用微观辨病思想诊治肾病综合征的经验[J]. 中华中医药杂志, 2019, 34(8): 3547-3550. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201908054.htm XU XQ, ZHUO RJ, HUA QL, et al. HUANG Chun-Lin's experience in diagnosing and treating nephrotic syndrome with microscopic disease differentiation[J]. China J Tradit Chin Med Pharm, 2019, 34(8): 3547-3550. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201908054.htm