王琛辨治慢性肾脏病湿邪致蛋白尿经验介绍
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R249;R692.9

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浙江省自然科学基金项目(Q21H270058);浙江中医药大学校级科研项目(2024FSYYZQ18)


Introduction of WANG Chen's Clinical Experience in Syndrome Differentiation and Treatment of Proteinuria Caused by Dampness in Chronic Kidney Disease
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    摘要:

    介绍王琛教授辨治慢性肾脏病湿邪致蛋白尿的临床经验。王琛教授认为,延缓慢性肾脏病首在控 制蛋白尿,慢性肾脏病蛋白尿的形成与湿、热、虚、瘀等因素均密切相关,其本在湿,强调“湿邪不去,蛋白 难消”,尤其重视祛湿大法在临床治疗慢性肾病蛋白尿的实践运用。总结出健脾化湿、清热利湿、活血利水、 祛风胜湿、温阳化饮、升阳化湿、淡渗利湿、芳香化湿的化湿八法。临证时辨证论治,依据病机活用八法。

    Abstract:

    Abstract: This article introduces Professor WANG Chen's clinical experience in syndrome differentiation and treatment of proteinuria caused by dampness in chronic kidney disease (CKD) . Professor WANG contends to delay CKD progression should prioritize the control of proteinuria, which is closely associated with dampness, heat, deficiency,and blood stasis. With dampness being the root,he emphasizes the treatment principle "dampness retention with intractable proteinuria" and particularly the clinical application of dampness-eliminating therapy for proteinuria in CKD. Professor WANG has systematically summarized eight dampness-resolving methods,i.e.,invigorating spleen to resolve dampness,clearing heat to drain dampness,activating blood circulation to promote urination,dispelling wind to eliminate dampness, warming yang to resolve fluid retention, elevating yang to resolve dampness, promoting urination to percolate dampness, and eliminating dampness with aromatics. These methods are flexibly applied in clinical practice according to various pathogenesis based on syndrome differentiation.

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冯波,王静洁,胡佳丽,周奕菁,指导:王琛.王琛辨治慢性肾脏病湿邪致蛋白尿经验介绍[J].新中医,2025,57(14):216-221

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  • 在线发布日期: 2025-07-26
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