[1]张磊,宋学娟,刘娟.基于文献的慢性肾小球肾炎蛋白尿中医证素分布及组合规律研究[J].西部中医药,2013,26(04):59-61.
　ZHANG Lei,SONG Xuejuan,LIU Juan.Combination and Distribution of TCM Syndrome Elements of Proteinuria Induced by Chronic Glomerulonephritis Based on Literature[J].Western Journal of Traditional Chinese Medicine,2013,26(04):59-61.
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基于文献的慢性肾小球肾炎蛋白尿中医证素分布及组合规律研究
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
26
期数:
2013年04期
页码:
59-61
栏目:
出版日期:
2013-04-15

文章信息/Info

Title:
Combination and Distribution of TCM Syndrome Elements of Proteinuria Induced by Chronic Glomerulonephritis Based on Literature
文章编号:
1004-6852(2013)04-0059-03
作者:
张磊，宋学娟，刘娟
甘肃中医学院，甘肃 兰州 730000
Author(s):
ZHANG Lei, SONG Xuejuan, LIU Juan
Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China
关键词:
蛋白尿; 肾小球肾炎; 证素; 文献研究
Keywords:
proteinuria; glomerulonephritis;  syndrome elements;  literature study
分类号:
R256.5
文献标志码:
A
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。
Abstract:
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, dampness-heat, dampness, essence depletion, heat, wind, water, Qi stagnation, wind-heat, wind-coldness, blood insufficiency 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, renal 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 deficiency of Qi and Yin, kidney Yin deficiency, Qi deficiency of spleen and kidney, Yin deficiency of liver and kidney.

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备注/Memo

备注/Memo:
收稿日期：2012-10-28 作者简介：张磊(1986—)，男，硕士研究生。研究方向：中医诊断。
更新日期/Last Update: 2013-04-15