[1]王英明,闫燕顺,程建林,等.基于“伏邪理论”探析IgA肾病“火伏肾络”的中医病机及治疗[J].西部中医药,2025,38(04):9-12.[doi:10.12174/j.issn.2096-9600.2025.04.03]
　WANG Yingming,YAN Yanshun,CHENG Jianlin,et al.Discussion on TCM Pathogenesis"Fire Evil Hidden in Renal Collateral" and Treatment of IgA Nephropathy Based on "Hidden Pathogen"[J].Western Journal of Traditional Chinese Medicine,2025,38(04):9-12.[doi:10.12174/j.issn.2096-9600.2025.04.03]
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基于“伏邪理论”探析IgA肾病“火伏肾络”的中医病机及治疗()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年04期
页码:
9-12
栏目:
学术探讨
出版日期:
2025-04-15

文章信息/Info

Title:
Discussion on TCM Pathogenesis"Fire Evil Hidden in Renal Collateral" and Treatment of IgA Nephropathy Based on "Hidden Pathogen"
作者:
王英明1, 闫燕顺2, 程建林3, 李建省3
1.甘肃省妇幼保健院，甘肃 兰州 730050
2.甘肃中医药大学，甘肃 兰州 730030
3.甘肃省中医院，甘肃 兰州 730050
Author(s):
WANG Yingming1, YAN Yanshun2, CHENG Jianlin3, LI Jiansheng3
1.Gansu Provincial Maternity and Child-care Hospital, Lanzhou 730050, China
2.Gansu University of Chinese Medicine, Lanzhou 730030, China
3.Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
IgA肾病; 伏邪理论; 火伏肾络; 病机; 治疗
Keywords:
IgA nephropathy; hidden pathogen; fire evil hidden in renal collateral; pathogenesis; therapy
分类号:
R256.51
DOI:
10.12174/j.issn.2096-9600.2025.04.03
文献标志码:
A
摘要:
IgA肾病病位在肾，是以微血管病变为特征，肾内微小血管与肾络相符合，其临床以大量血尿为表现，火性炎热易迫血妄行，故从“伏邪理论”中“火伏肾络”的角度出发可认为火伏肾络、热迫血行是血尿的主要病机，真阴耗伤、虚火妄动是炎症反应的关键，肾络灼伤、脉络瘀阻是肾功能衰竭的基础。在治疗上可采用补肾透邪、养阴清热、止血养血、畅通肾络、升清降浊、协调脏腑的原则，以期为中医深入认识IgA肾病及治疗提供理论依据和新的思路。
Abstract:
IgA nephropathy, located in the kidney, is characterized by microvascular lesions, with its clinical manifestation of large amounts of hematuria, intrarenal microvessels conform to renal collateral, fire is hot and easily forces blood to flow uncontrollably, hence, from the perspective of "fire evil hidden in renal collateral" in the theory of "hidden pathogen", it is believed that fire evil hidden in renal collateral, and fire easily forces blood to flow uncontrollably is the main pathogenesis of hematuria, the depletion of true Yin, and flaring up of deficiency fire is the key to inflammatory response, burns of renal collateral and the obstruction of the vein and collateral is the foundation of renal failure. Therapeutic principles of the disease could adopt tonifying-kidney and eliminating the pathogen, nourishing Yin and clearing heat, stopping bleeding and benefiting blood, unobstructing renal collateral, ascending the clear and descending the turbid and coordinating the viscera, so as to provide theoretical reference for the insight into IgA nephropathy in TCM and the treatment.

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备注/Memo

备注/Memo:
王英明（1994—），男，硕士学位，医师。研究方向：中西医结合防治慢性肾脏病。河南省自然科学基金（202300410256）；河南省重点研发与推广专项（科技攻关）项目（202102310505）；国家中医临床研究基地科研项目（2019JDZX2119）。 国家自然科学基金（82360884）；国家中医药管理局青年岐黄学者支持项目（国中医药人教函〔2020〕218号）；甘肃省自然科学基金（20JR5RA162，1308RJZA164）；甘肃省中医药科研项目（重点课题）（GZKZ-2022-3）；甘肃省高等学校科研项目（2013A-082）。
更新日期/Last Update: 2025-04-15