Constructing the State-Target Differentiation and Treatment System of Primary Membranous Nephropathy based on the Theory of Z<italic style="font-style: italic">ang</italic>-<italic style="font-style: italic">fu</italic> （脏腑） Organs Wind-damp

ZHAO Qihan; DAI Haoran; JIANG Hanxue; LIU Wenbin; LIU Baoli; TONG Xiaolin

doi:10.13288/j.11-2166/r.2023.08.005

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Constructing the State-Target Differentiation and Treatment System of Primary Membranous Nephropathy based on the Theory of Zang-fu （脏腑） Organs Wind-damp

更新时间：2023-04-14

- Constructing the State-Target Differentiation and Treatment System of Primary Membranous Nephropathy based on the Theory of Zang-fu （脏腑） Organs Wind-damp
- Journal of Traditional Chinese Medicine Vol. 64, Issue 8, Pages: 774-778(2023)
- 作者机构：
  
  1.首都医科大学附属北京中医医院，北京市东城区美术馆后街23号，100010
  2.北京中医医院顺义医院
  3.北京中医药大学
  4.中国中医科学院广安门医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.08.005
  CLC：
- Received：20 August 2022，
  
  Revised：2022-12-08，
  
  Published：17 April 2023
- 稿件说明：
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赵启涵,戴浩然,姜韩雪等.基于脏腑风湿论构建原发性膜性肾病态靶辨治体系[J].中医杂志,2023,64(08):774-778.

ZHAO Qihan,DAI Haoran,JIANG Hanxue,et al.Constructing the State-Target Differentiation and Treatment System of Primary Membranous Nephropathy based on the Theory of Zang-fu （脏腑） Organs Wind-damp[J].Journal of Traditional Chinese Medicine,2023,64(08):774-778.
赵启涵,戴浩然,姜韩雪等.基于脏腑风湿论构建原发性膜性肾病态靶辨治体系[J].中医杂志,2023,64(08):774-778. DOI： 10.13288/j.11-2166/r.2023.08.005.

ZHAO Qihan,DAI Haoran,JIANG Hanxue,et al.Constructing the State-Target Differentiation and Treatment System of Primary Membranous Nephropathy based on the Theory of Zang-fu （脏腑） Organs Wind-damp[J].Journal of Traditional Chinese Medicine,2023,64(08):774-778. DOI： 10.13288/j.11-2166/r.2023.08.005.

摘要

原发性膜性肾病是一种自身免疫性肾小球病，已成为成人肾病综合征最主要的病理类型，可归属中医学“水肿病”范畴。在脏腑风湿论和态靶辨治理论体系基础上，提出原发性膜性肾病从病机衍变上可分为“虚、伏、变、损”四个阶段，临床表现包含“虚、寒、湿、瘀、积、饮”六态。治疗上以麻黄附子汤合肾着汤为病靶主方，针对“免疫、病理、指标”三个内含靶标，根据六态灵活化裁，谨守“温阳化积，解表散寒”的治疗总则，构建原发性膜性肾病的态靶辨治体系。

Abstract

Primary membranous nephropathy （PMN） is an autoimmune glomerular disease， which has become the main pathological condition of nephrotic syndrome in adults， and belongs to “edema” in traditional Chinese medicine. Based on the theories of

zang

（脏腑） organs wind-damp， and state differentiation and target treatment， it is proposed that PMN can be divided into four stages according to the progression of the pathological mechanism， that is deficiency， latency， change， and depletion， and the six states of the clinical manifestations include deficiency， cold， damp， stasis， accumulation， and retention.

Mahuang Fuzi Decoction and Shenzhuo Decoction

（麻黄附子汤合肾着汤） is the main prescription targeting the disease. Aiming at the three contained targets of immunity， pathology， and indicators， the prescription should be flexibly modified based on the six states， and the principle of warming yang and removing accumulation， releasing the exterior and dissipating cold should be adhered to， in order to construct a state-target differentiation and treatment system for PMN.

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references

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Constructing the State-Target Differentiation and Treatment System of Primary Membranous Nephropathy based on the Theory of Zang-fu （脏腑） Organs Wind-damp

DOI：10.13288/j.11-2166/r.2023.08.005

摘要

Abstract

关键词

Keywords

references